A list of the most recent deficiencies for Westminster at Lake Ridge. 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 proper power supply for life support equipment. | Fire Safety | 2022-06-29 | 2022-08-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-29 | 2022-08-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-23 | 2022-07-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-23 | 2022-07-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-15 | 2021-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-15 | 2021-04-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-15 | 2021-04-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-15 | 2021-04-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-19 | 2019-08-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-16 | 2019-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-16 | 2019-06-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-16 | 2019-06-28 | 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 | 2019-05-16 | 2019-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-06-28 | 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 | 2019-05-16 | 2019-06-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-16 | 2019-06-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-05-16 | 2019-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-16 | 2019-06-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-16 | 2019-06-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-05-16 | 2019-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-16 | 2019-06-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-16 | 2019-06-28 | 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 | 2019-05-16 | 2019-06-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-16 | 2019-06-28 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-16 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-02-08 | 2018-03-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-08 | 2018-03-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-08 | 2018-03-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-08 | 2018-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-08 | 2018-03-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-08 | 2018-03-08 | 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 | 2018-02-08 | 2018-03-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-02-08 | 2018-03-08 | N |
