Deficiency Records for Wesley Enhanced Living - Doylestown
Updated as of February 01, 2022
This is not the most recent data for Wesley Enhanced Living - Doylestown. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 other general requirements that are deficient. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-03 | 2021-07-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-04 | 2020-03-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Establish methods for sharing information. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Meet other general requirements. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-04 | 2019-12-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-01 | 2019-11-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-29 | 2018-12-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-26 | 2018-11-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-26 | 2018-11-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-26 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-11-16 | N |
