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Deficiency Records for Wellspring Health Center
View the most recent health deficiencies and inspection results for Wellspring Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wellspring Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-18 | 2026-03-09 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-04 | 2026-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-04 | 2026-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-04 | 2026-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-04 | 2026-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-04 | 2026-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-04 | 2026-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-28 | 2025-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-28 | 2025-05-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-18 | 2025-03-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-18 | 2025-03-20 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-02-18 | 2025-03-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-21 | 2024-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-03-22 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-30 | 2022-10-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-30 | 2022-10-20 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-08-30 | 2022-10-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-30 | 2022-10-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-30 | 2022-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-10-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-30 | 2022-10-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-04 | 2019-05-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-04 | 2019-05-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-04 | 2019-05-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-04 | 2019-05-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-04 | 2019-05-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-04 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-04 | 2019-05-17 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-04-04 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-04 | 2019-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-04 | 2019-05-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-04 | 2019-05-17 | N |