Deficiency Records for Westminster-Canterbury of Lynchburg Inc
Updated as of March 01, 2024
A list of the most recent deficiencies for Westminster-Canterbury of Lynchburg Inc. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-21 | 2023-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-08 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-03-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-10 | 2021-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-10 | 2021-06-28 | 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 | 2021-05-05 | 2021-05-21 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-05-05 | 2021-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-05 | 2021-05-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-05 | 2019-06-21 | N |
