A list of the most recent deficiencies for Westmoreland Manor. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-08 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-15 | 2023-09-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-13 | 2023-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-13 | 2023-07-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-13 | 2023-07-10 | 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 | 2023-06-13 | 2023-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-15 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-15 | 2023-07-05 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2023-06-15 | 2023-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2022-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-12-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2022-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-23 | 2021-09-10 | Y |
| 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 | 2021-07-27 | 2021-08-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-27 | 2021-08-30 | 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 | 2021-07-27 | 2021-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-27 | 2021-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-22 | 2021-08-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-22 | 2021-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-08-23 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-22 | 2021-08-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-22 | 2021-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-22 | 2021-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-22 | 2021-08-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-22 | 2021-08-23 | 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 | 2021-07-22 | 2021-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-22 | 2021-08-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-14 | 2021-05-12 | Y |
