A list of the most recent deficiencies for Westwood Center. 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 | 2023-10-17 | 2023-09-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-07-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-21 | 2023-07-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-12 | 2023-05-30 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-12 | 2023-05-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-12 | 2023-05-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-12 | 2023-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-20 | 2023-05-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-20 | 2023-05-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-20 | 2023-05-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-20 | 2023-05-30 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-03-20 | 2023-05-12 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-20 | 2023-05-12 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-03-20 | 2023-05-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-20 | 2023-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-05-12 | 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 | 2023-03-20 | 2023-05-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-20 | 2023-05-12 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-20 | 2023-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-05-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-03-20 | 2023-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-05-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-20 | 2023-05-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-20 | 2023-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-20 | 2023-05-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-05-12 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-21 | 2023-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-05-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-21 | 2023-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-05-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-26 | 2021-07-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-26 | 2021-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-07-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-26 | 2021-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-26 | 2021-07-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-26 | 2021-07-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-20 | 2021-07-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-20 | 2021-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-20 | 2021-07-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-20 | 2021-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-07-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-07-14 | 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 | 2021-05-20 | 2021-07-14 | Y |
| 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 | 2020-02-21 | 2020-03-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-21 | 2020-03-20 | 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 | 2020-02-21 | 2020-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-03-20 | 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 | 2020-02-21 | 2020-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-21 | 2020-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-21 | 2020-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-21 | 2020-03-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-21 | 2020-03-20 | 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 | 2020-02-21 | 2020-03-20 | N |
| 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 | 2020-02-21 | 2020-03-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-21 | 2020-03-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-07 | Not Fixed | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-06-07 | Not Fixed | N |
