A list of the most recent deficiencies for West Village Post Acute. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-11 | 2023-07-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-13 | 2022-11-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-13 | 2022-11-13 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-10-13 | 2022-11-13 | 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 | 2022-10-13 | 2022-11-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-13 | 2022-11-13 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-13 | 2022-11-13 | 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 | 2022-10-13 | 2022-11-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-13 | 2022-11-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-13 | 2022-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-13 | 2022-11-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-13 | 2022-11-13 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-13 | 2022-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-13 | 2022-10-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-17 | 2022-06-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-17 | 2022-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-30 | 2021-07-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-30 | 2021-06-30 | 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 | 2021-04-30 | 2021-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-30 | 2021-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-30 | 2021-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-30 | 2021-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-27 | 2021-05-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-14 | 2019-05-23 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-14 | 2019-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-14 | 2019-03-16 | 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 | 2019-02-14 | 2019-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-03-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-14 | 2019-03-16 | 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 | 2019-02-14 | 2019-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-14 | 2019-03-16 | N |
