A list of the most recent deficiencies for Welsh Home The. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-04 | 2024-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-02 | 2024-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-02 | 2024-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-02 | 2024-02-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-22 | 2021-05-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-22 | 2021-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-05-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-26 | 2021-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-26 | 2021-05-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-26 | 2021-05-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-26 | 2021-05-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-26 | 2021-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-28 | 2019-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-02-28 | 2019-04-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-28 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-12 | 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 | 2019-02-27 | 2019-04-12 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-27 | 2019-04-12 | N |
