Deficiency Records for Wexford Healthcare Center
Updated as of June 01, 2020
This is not the most recent data for Wexford Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Wexford Healthcare 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? |
|---|---|---|---|---|
| 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 | 2019-09-20 | 2019-12-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-20 | 2019-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-20 | 2019-11-04 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-09-20 | 2019-11-04 | N |
| Provide information about how to apply for and use Medicare and Medicaid benefits. | Health | 2019-09-20 | 2019-11-04 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-09-20 | 2019-11-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-20 | 2019-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-20 | 2019-11-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-20 | 2019-11-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-23 | 2019-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-28 | 2019-08-12 | Y |
| 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 | 2019-03-27 | 2019-05-08 | Y |
| 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 | 2019-03-27 | 2019-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-27 | 2018-10-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-08-27 | 2018-10-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-08-27 | 2018-10-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-27 | 2018-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-27 | 2018-10-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-27 | 2018-10-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-08-27 | 2018-10-16 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-28 | 2018-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-28 | 2018-10-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-28 | 2018-10-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-08-28 | 2018-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-28 | 2018-10-04 | 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 | 2017-09-14 | 2017-10-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-15 | 2017-10-17 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-09-15 | 2017-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-15 | 2017-10-17 | N |
