Deficiency Records for Welch Community Hospital
Updated as of November 01, 2014
This is not the most recent data for Welch Community Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Welch Community Hospital. 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? |
|---|---|---|---|---|
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-10-10 | 2013-11-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-10-10 | 2013-11-18 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-10-10 | 2013-11-18 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-10-10 | 2013-11-18 | N |
| Maintain comfortable and safe temperature levels. | Health | 2013-10-10 | 2013-11-18 | N |
| Completely assess the resident at least every twelve months. | Health | 2013-10-10 | 2013-11-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-10-10 | 2013-11-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-10-10 | 2013-11-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-10-10 | 2013-11-18 | N |
| Provide food in a way that meets a resident's needs. | Health | 2013-10-10 | 2013-11-18 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2013-10-10 | 2013-11-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-10-10 | 2013-11-18 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-10-10 | 2013-11-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2013-10-10 | 2013-11-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-10-10 | 2013-11-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2012-11-29 | 2013-01-03 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2012-11-29 | 2013-01-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2012-11-29 | 2013-01-03 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2012-11-29 | 2013-01-03 | N |
| Provide housekeeping and maintenance services. | Health | 2012-11-29 | 2013-01-03 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2012-11-29 | 2013-01-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2012-11-29 | 2013-01-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2012-11-29 | 2013-01-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2012-11-29 | 2013-01-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2012-11-29 | 2013-01-03 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2012-11-29 | 2013-01-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2010-06-04 | 2010-09-10 | N |
| Keep all essential equipment working safely. | Health | 2010-06-04 | 2010-09-10 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2010-06-04 | 2010-08-18 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2010-06-04 | 2010-08-18 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2010-06-04 | 2010-08-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2010-06-04 | 2010-08-18 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2010-06-04 | 2010-08-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2010-06-04 | 2010-08-18 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2010-06-04 | 2010-08-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2010-06-04 | 2010-08-18 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2010-06-04 | 2010-08-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2010-06-04 | 2010-08-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2010-06-04 | 2010-08-18 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2010-06-04 | 2010-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2010-06-04 | 2010-08-18 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2010-06-04 | 2010-08-18 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2010-06-04 | 2010-08-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2010-06-04 | 2010-08-18 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2010-06-04 | 2010-08-18 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2010-06-04 | 2010-08-18 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2010-06-04 | 2010-08-18 | N |
| Keep clinical record information safe. | Health | 2010-06-04 | 2010-08-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2010-06-04 | 2010-08-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2010-05-27 | 2010-06-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2010-05-27 | 2010-06-16 | N |
| Exits that are accessible at all times. | Fire Safety | 2012-11-30 | Not Fixed | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2012-11-30 | Not Fixed | N |
