A list of the most recent deficiencies for Wurzbach Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-10-26 | 2023-10-25 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-03 | 2023-04-22 | 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 | 2023-03-03 | 2023-04-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-03 | 2023-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-03 | 2023-04-22 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2023-03-03 | 2023-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-03 | 2023-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-04-22 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-03 | 2023-04-22 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-02 | 2023-03-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-02 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-03 | 2022-12-04 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-06-03 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-03 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-07 | 2022-06-08 | 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 | 2022-06-07 | 2022-06-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-23 | 2022-02-05 | Y |
| 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 | 2021-12-03 | 2022-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-03 | 2021-12-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-03 | 2021-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-03 | 2021-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-03 | 2021-12-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-28 | 2021-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-25 | 2020-11-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-22 | 2020-10-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-25 | 2020-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-25 | 2020-09-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-09-25 | 2020-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-25 | 2020-09-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-09-25 | 2020-09-26 | 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 | 2020-09-25 | 2020-09-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-09-25 | 2020-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-25 | 2020-09-26 | N |
| Keep all essential equipment working safely. | Health | 2020-09-25 | 2020-09-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-25 | 2020-09-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-22 | Not Fixed | N |
