Deficiency Records for Quality Life Services - Westmont
Updated as of November 01, 2020
This is not the most recent data for Quality Life Services - Westmont. For the most recent information, click here.
A list of the most recent deficiencies for Quality Life Services - Westmont. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-28 | 2020-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-04-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-28 | 2020-04-13 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-28 | 2020-04-13 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-28 | 2020-04-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-28 | 2020-04-13 | Y |
| 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 | 2020-02-28 | 2020-04-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-28 | 2020-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-28 | 2020-04-13 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-05 | 2019-12-31 | N |
| Meet other general requirements. | Fire Safety | 2019-11-05 | 2019-12-31 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-11-05 | 2019-12-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-05 | 2019-12-31 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-11-05 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-01 | 2019-12-09 | 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 | 2019-11-01 | 2019-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-01 | 2019-12-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-01 | 2019-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-01 | 2019-12-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-01 | 2019-12-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-01 | 2019-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-01 | 2019-12-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-01 | 2019-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-18 | 2019-11-04 | Y |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2019-04-23 | 2019-05-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-19 | 2019-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-19 | 2019-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-19 | 2019-04-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-18 | 2018-12-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-18 | 2018-12-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-18 | 2018-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-12-07 | 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 | 2018-10-18 | 2018-12-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-18 | 2018-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-18 | 2018-12-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-18 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-12-07 | 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 | 2018-10-18 | 2018-12-07 | 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 | 2018-10-18 | 2018-12-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-18 | 2018-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-12-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-18 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-12-07 | 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 | 2018-08-15 | 2018-09-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-15 | 2018-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-15 | 2018-09-24 | Y |
| 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 | 2018-08-15 | 2018-09-24 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-07 | 2018-04-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-07 | 2018-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-07 | 2018-04-16 | Y |
| 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 | 2018-02-26 | 2018-03-30 | 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 | 2018-02-26 | 2018-03-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-26 | 2018-03-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-26 | 2018-03-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-01 | 2018-03-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-01 | 2018-03-12 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-11-27 | 2017-12-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-11-27 | 2017-12-26 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-30 | 2017-12-22 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-10-03 | 2017-11-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-03 | 2017-11-15 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-03 | 2017-11-15 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-10-03 | 2017-11-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-03 | 2017-11-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-03 | 2017-11-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-03 | 2017-11-15 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-10-03 | 2017-11-15 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-03 | 2017-11-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-03 | 2017-11-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-03 | 2017-11-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-03 | 2017-11-15 | N |
