Deficiency Records for Wayland Nursing and Rehabilitation Center

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Updated as of May 01, 2024

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Deficiency Records for Wayland Nursing and Rehabilitation Center

A list of the most recent deficiencies for Wayland Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Wayland Nursing and Rehabilitation 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-09 2023-04-25 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-09 2023-04-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-09 2023-02-28 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-09-09 2023-02-28 N
Use approved construction type or materials. Fire Safety 2022-09-09 2022-11-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-09 2022-11-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-09 2022-11-28 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-07-28 2022-09-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-28 2022-09-01 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 2022-07-28 2022-09-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-28 2022-09-01 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 2022-07-28 2022-09-01 N
Provide enough food/fluids to maintain a resident's health. Health 2022-07-28 2022-09-01 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-07-28 2022-09-01 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 2022-07-28 2022-09-01 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 2022-07-28 2022-09-01 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-07-28 2022-09-01 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-07-28 2022-09-01 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-07-28 2022-09-01 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-06-23 2022-07-22 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-23 2022-07-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-23 2022-07-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-06-23 2022-07-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-23 2022-07-22 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-06-23 2022-07-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-23 2022-07-22 Y
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 2022-06-23 2022-07-22 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-06-23 2022-07-22 Y
Ensure that residents are free from significant medication errors. Health 2022-06-23 2022-07-22 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-23 2022-07-22 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-04-01 2021-07-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-01 2021-07-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-01 2021-05-19 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-04-01 2021-05-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-04-01 2021-05-19 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-04-01 2021-05-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-01 2021-05-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-03-12 2021-04-12 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-03-12 2021-04-12 N
Ensure each resident receives an accurate assessment. Health 2021-03-12 2021-04-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-03-12 2021-04-12 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 2021-03-12 2021-04-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-03-12 2021-04-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-03-12 2021-04-12 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-03-12 2021-04-12 N
Observe each nurse aide's job performance and give regular training. Health 2021-03-12 2021-04-12 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 2021-03-12 2021-04-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-03-12 2021-04-12 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2021-03-12 2021-04-12 N
Establish staff and initial training requirements. Fire Safety 2021-03-12 2021-04-12 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-03-12 2021-03-02 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-06-24 2019-09-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-24 2019-08-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-06-24 2019-08-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-06-24 2019-08-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-24 2019-08-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-06-07 2019-07-21 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2019-06-07 2019-07-21 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2019-06-07 2019-07-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-07 2019-07-21 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-06-07 2019-07-21 N
Ensure each resident receives an accurate assessment. Health 2019-06-07 2019-07-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-07 2019-07-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-06-07 2019-07-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-06-07 2019-07-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-06-07 2019-07-21 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 2019-06-07 2019-07-21 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-06-07 2019-07-21 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 2019-06-07 2019-07-21 N
Provide and implement an infection prevention and control program. Health 2019-06-07 2019-07-21 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2019-06-07 2019-07-21 N
Establish emergency prep training and testing. Fire Safety 2019-06-07 2019-07-21 N
Establish staff and initial training requirements. Fire Safety 2019-06-07 2019-07-21 N

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