Deficiency Records for Wildewood Downs

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Updated as of June 01, 2020

This is not the most recent data for Wildewood Downs. For the most recent information, click here.

A list of the most recent deficiencies for Wildewood Downs. 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?
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-02-21 2019-03-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-02-21 2019-02-28 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2018-02-23 2018-03-23 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2018-02-23 2018-03-23 N
Address patient/client population and determine types of services needed. Fire Safety 2018-02-23 2018-03-23 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2018-02-23 2018-03-23 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-02-23 2018-03-23 N
Address subsistence needs for staff and patients. Fire Safety 2018-02-23 2018-03-23 N
Establish policies and procedures for medical documentation. Fire Safety 2018-02-23 2018-03-23 N
Establish roles under a Waiver declared by secretary. Fire Safety 2018-02-23 2018-03-23 N
Develop a communication plan. Fire Safety 2018-02-23 2018-03-23 N
Provide emergency officials' contact information. Fire Safety 2018-02-23 2018-03-23 N
Provide primary/alternate means for communication. Fire Safety 2018-02-23 2018-03-23 N
Establish methods for sharing information. Fire Safety 2018-02-23 2018-03-23 N
Use approved construction type or materials. Fire Safety 2018-02-20 2018-03-23 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2018-02-23 2018-03-23 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2018-02-23 2018-03-23 N
Ensure each resident receives an accurate assessment. Health 2018-02-23 2018-03-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-02-23 2018-03-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-02-23 2018-03-23 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 2018-02-23 2018-03-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-02-23 2018-03-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-02-23 2018-03-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-02-23 2018-03-23 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2018-02-23 2018-03-23 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2018-02-23 2018-03-23 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2018-02-20 2018-03-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-02-20 2018-03-09 N
Give residents a notice of rights, rules, services and charges. Health 2017-01-12 2017-02-12 N
Keep residents' personal and medical records private and confidential. Health 2017-01-12 2017-02-12 N
Allow residents to self-administer drugs if determined safe. Health 2017-01-12 2017-02-12 N
Reasonably accommodate the needs and preferences of each resident. Health 2017-01-12 2017-02-12 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2017-01-12 2017-02-12 N
Provide housekeeping and maintenance services. Health 2017-01-12 2017-02-12 N
Conduct initial and periodic assessments of each resident's functional capacity. Health 2017-01-12 2017-02-12 N
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. Health 2017-01-12 2017-02-12 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-01-12 2017-02-12 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-01-12 2017-02-12 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-01-12 2017-02-12 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Health 2017-01-12 2017-02-12 N