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Deficiency Records for Wesley Enhanced Living at Stapeley
View the most recent health deficiencies and inspection results for Wesley Enhanced Living at Stapeley. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wesley Enhanced Living at Stapeley. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-08 | 2026-02-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-23 | 2025-07-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-23 | 2025-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-23 | 2025-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-23 | 2025-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-23 | 2025-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-23 | 2025-06-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-23 | 2025-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-23 | 2025-06-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-05-23 | 2025-06-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-05-23 | 2025-06-30 | 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 | 2025-05-23 | 2025-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-23 | 2025-06-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-05-23 | 2025-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-23 | 2025-06-30 | N |
| Keep all essential equipment working safely. | Health | 2025-05-23 | 2025-06-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-23 | 2025-06-30 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Meet other general requirements. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-23 | 2025-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-04 | 2024-11-14 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-08-09 | 2024-09-20 | 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 | 2024-08-09 | 2024-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-09 | 2024-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-09 | 2024-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-09-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-09 | 2024-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-09-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-09 | 2024-08-25 | 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 | 2024-08-09 | 2024-08-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-09 | 2024-05-02 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-28 | 2023-11-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-28 | 2023-11-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-28 | 2023-11-01 | N |
| Keep all essential equipment working safely. | Health | 2023-09-28 | 2023-11-01 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-09-28 | 2023-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-11-01 | N |
| Post nurse staffing information every day. | Health | 2023-09-28 | 2023-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-28 | 2023-11-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-07 | 2023-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-07 | 2023-07-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-07 | 2023-07-14 | Y |
| 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 | 2025-05-08 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-08 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-08 | Not Fixed | Y |