Deficiency Records for Welch Community Hospital
Updated as of July 01, 2016
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 | 2015-04-23 | 2015-06-10 | 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 | 2015-04-23 | 2015-06-10 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-04-23 | 2015-06-10 | N |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-04-23 | 2015-06-10 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-04-23 | 2015-06-10 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-04-23 | 2015-06-10 | N |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-04-23 | 2015-06-10 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-04-23 | 2015-06-10 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-04-23 | 2015-06-10 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-23 | 2015-06-10 | 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 | 2015-04-23 | 2015-06-10 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2015-04-23 | 2015-06-10 | 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 | 2015-04-23 | 2015-06-10 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-04-23 | 2015-06-10 | 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 | 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 |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-04-21 | Not Fixed | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-04-21 | Not Fixed | 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 |