A list of the most recent deficiencies for Wesley Enhanced Living - Doylestown. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-25 | 2023-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-25 | 2023-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-25 | 2023-06-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-20 | 2023-04-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-25 | 2022-05-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-03 | 2021-08-16 | 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 | 2021-06-03 | 2021-08-16 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-06-03 | 2021-08-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
