Deficiency Records for Wellspring Health Center
Updated as of February 01, 2020
This is not the most recent data for Wellspring Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Wellspring Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-02 | 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-04 | 2019-05-17 | 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 |
| 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 |
| 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 |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-06 | 2018-04-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-03-06 | 2018-04-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-03-08 | 2018-04-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-08 | 2018-04-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-08 | 2018-04-09 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-08 | 2018-04-09 | 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 | 2018-03-08 | 2018-04-09 | 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 | 2018-03-08 | 2018-04-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-08 | 2018-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-08 | 2018-04-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-03 | 2018-01-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2017-12-08 | 2017-12-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-08 | 2017-12-08 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-05 | 2017-02-14 | N |
