Deficiency Records for Westward Trails Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Westward Trails 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-15 | 2023-04-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Have policies on smoking. | Health | 2023-03-15 | 2023-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-06 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-01-19 | 2022-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-19 | 2022-02-09 | 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 | 2022-01-18 | 2022-02-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-18 | 2022-02-09 | 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 | 2020-10-13 | 2020-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-13 | 2020-11-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-10-15 | 2020-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-15 | 2020-10-25 | N |
| Keep all essential equipment working safely. | Health | 2020-10-15 | 2020-10-25 | N |
