A list of the most recent deficiencies for Wesbury United Methodist Commu. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-27 | 2023-11-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-27 | 2023-11-24 | 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 | 2023-10-27 | 2023-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-11-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-27 | 2023-11-24 | 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 | 2023-10-27 | 2023-11-24 | N |
| Meet other general requirements. | Fire Safety | 2023-10-25 | 2023-11-24 | 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 | 2023-10-25 | 2023-11-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-25 | 2023-11-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Meet other general requirements. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-21 | 2023-01-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-21 | 2023-01-20 | 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 | 2022-11-30 | 2023-01-06 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-30 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2023-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-16 | 2021-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-16 | 2021-12-22 | N |
| Meet other general requirements. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-11-18 | 2021-12-18 | 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 | 2021-11-18 | 2021-12-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-18 | 2021-12-18 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-07-30 | 2021-08-21 | Y |
