A list of the most recent deficiencies for Centro Medico Wilma N Vazquez Snf. 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 that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-04-18 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-18 | 2023-06-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-18 | 2023-05-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-18 | 2023-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-18 | 2023-05-31 | 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 | 2023-04-18 | 2023-05-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-18 | 2023-05-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-18 | 2023-05-09 | N |
| Keep all essential equipment working safely. | Health | 2023-04-18 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-07-15 | 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 | 2022-05-19 | 2022-07-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-19 | 2022-07-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-19 | 2022-07-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-19 | 2022-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-19 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Meet other general requirements. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Keep all essential equipment working safely. | Health | 2022-05-19 | 2022-06-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-19 | 2022-06-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-19 | 2022-05-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-10 | 2021-08-26 | N |
| Ensure that sleeping suites have required exit access and constant staff supervision. | Fire Safety | 2021-06-10 | 2021-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-10 | 2021-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-10 | 2021-08-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-06-10 | 2021-08-26 | N |
| Meet other general requirements. | Fire Safety | 2021-06-10 | 2021-08-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-09 | 2021-08-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-09 | 2021-08-03 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-09 | 2021-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-08-03 | N |
| Keep all essential equipment working safely. | Health | 2021-06-09 | 2021-08-03 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-16 | 2020-10-06 | N |
