A list of the most recent deficiencies for Wesley Village. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-30 | 2023-08-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-30 | 2023-08-22 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-30 | 2023-08-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-30 | 2023-08-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-06 | 2023-07-17 | 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 | 2023-06-06 | 2023-07-17 | N |
| 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 | 2023-01-17 | 2023-02-28 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-01-17 | 2023-02-28 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-07-29 | 2022-09-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-29 | 2022-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-29 | 2022-09-16 | 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 | 2022-07-29 | 2022-09-16 | 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 | 2022-07-29 | 2022-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-29 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-29 | 2022-09-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-29 | 2022-09-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-07-29 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-19 | 2022-08-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-19 | 2022-08-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-19 | 2022-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-19 | 2022-08-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-19 | 2022-08-24 | 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 | 2022-05-26 | 2022-06-27 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-02-15 | 2022-03-15 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-15 | 2022-03-15 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-10-29 | 2022-01-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-10-29 | 2022-01-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-29 | 2021-12-09 | 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 | 2021-10-29 | 2021-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-29 | 2021-12-09 | N |
| Post nurse staffing information every day. | Health | 2021-10-29 | 2021-12-09 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-10-29 | 2021-12-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-29 | 2021-12-09 | N |
| Use approved construction type or materials. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-20 | 2021-11-05 | 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 | 2021-10-20 | 2021-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-13 | 2021-06-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-22 | Not Fixed | Y |
