Deficiency Records for Western Hills Healthcare Residence
Updated as of March 01, 2018
This is not the most recent data for Western Hills Healthcare Residence. For the most recent information, click here.
A list of the most recent deficiencies for Western Hills Healthcare Residence. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-08-17 | 2017-08-24 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-17 | 2017-08-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-19 | 2017-05-20 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-19 | 2017-05-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-20 | 2017-01-19 | N |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2016-12-20 | 2017-01-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-20 | 2017-01-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-20 | 2017-01-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-20 | 2017-01-19 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-20 | 2017-01-19 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-12-20 | 2017-01-19 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-20 | 2017-01-19 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-20 | 2017-01-19 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-12-20 | 2017-01-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-10-25 | 2016-11-21 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-25 | 2016-11-21 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-10-25 | 2016-11-21 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-01 | 2016-04-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-01 | 2016-04-14 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-01 | 2016-04-14 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-02-18 | 2016-03-18 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| Proper backup exit lighting. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| Portable fire extinguishers. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-01-07 | 2015-02-21 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2015-01-07 | 2015-02-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-07 | 2015-02-21 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-01-07 | 2015-02-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-07 | 2015-02-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-07 | 2015-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-01-07 | 2015-02-21 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-01-07 | 2015-02-21 | N |
