A list of the most recent deficiencies for West Side Campus of Care. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-07 | 2023-12-18 | 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 | 2023-12-07 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-07 | 2023-12-11 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-07 | 2023-12-08 | 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 | 2023-12-07 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2023-12-08 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-07 | 2023-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-06 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-10-13 | 2022-11-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-10-13 | 2022-11-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-13 | 2022-11-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-13 | 2022-10-26 | 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 | 2022-10-13 | 2022-10-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-21 | 2022-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-16 | 2021-09-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-16 | 2021-09-17 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-08-05 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-06 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-05 | 2021-08-06 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-08-05 | 2021-08-06 | 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 | 2021-04-22 | 2021-05-23 | Y |
| Keep all essential equipment working safely. | Health | 2021-04-22 | 2021-05-23 | Y |
