CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Western Hills Healthcare Residence
View the most recent health deficiencies and inspection results for Western Hills Healthcare Residence. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Western Hills Healthcare Residence. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-14 | 2025-06-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-14 | 2025-06-15 | 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 | 2025-05-14 | 2025-06-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-14 | 2025-05-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-05-14 | 2025-05-15 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-05-14 | 2025-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-14 | 2025-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-14 | 2025-05-15 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-14 | 2025-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-25 | 2024-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-25 | 2024-05-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-25 | 2024-05-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-25 | 2024-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-25 | 2024-05-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-03-25 | 2024-05-09 | 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 | 2024-03-25 | 2024-05-09 | 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 | 2024-03-25 | 2024-04-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-25 | 2024-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-25 | 2024-04-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-25 | 2024-04-15 | Y |
| 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 | 2024-03-25 | 2024-04-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-03-25 | 2024-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-25 | 2024-04-15 | 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 | 2024-03-25 | 2024-04-15 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-03-25 | 2024-04-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-25 | 2024-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-25 | 2024-04-15 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-25 | 2024-04-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-25 | 2024-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-25 | 2024-04-12 | Y |
| 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 | 2024-03-25 | 2024-04-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-25 | 2024-03-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-25 | 2024-03-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-08 | 2023-03-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-02-08 | 2023-03-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-08 | 2023-03-09 | N |
| Provide or obtain dental services for each resident. | Health | 2023-02-08 | 2023-03-09 | 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 | 2023-02-08 | 2023-03-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-08 | 2023-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-08 | 2023-03-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-08 | 2023-03-09 | N |