A list of the most recent deficiencies for Rocky River Healthcare of Westpark. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-28 | 2023-10-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-08 | 2022-11-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-08 | 2022-11-21 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-11-08 | 2022-11-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-07 | 2022-11-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-07 | 2022-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2022-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-07 | 2022-11-21 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-30 | 2022-07-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-30 | 2022-07-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-30 | 2022-07-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-30 | 2022-07-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-15 | 2022-04-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-15 | 2022-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-29 | 2019-10-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-29 | 2019-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-29 | 2019-10-01 | 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 | 2019-08-29 | 2019-10-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-08-29 | 2019-10-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-29 | 2019-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-10-01 | 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 | 2019-08-29 | 2019-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-29 | 2019-10-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-29 | 2019-10-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-08-29 | 2019-10-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-29 | 2019-10-01 | N |
| 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 | 2019-08-29 | 2019-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-29 | 2019-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-29 | 2019-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-15 | 2019-01-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-11-15 | 2019-01-11 | 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 | 2018-11-15 | 2019-01-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Establish methods for sharing information. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-13 | 2019-01-11 | N |
