Deficiency Records for Welch Community Hospital
Updated as of June 01, 2019
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-17 | 2018-11-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-17 | 2018-11-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-17 | 2018-11-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-17 | 2018-11-02 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-08-17 | 2018-11-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-17 | 2018-11-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-17 | 2018-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-17 | 2018-11-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-17 | 2018-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-17 | 2018-11-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-17 | 2018-11-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-17 | 2018-11-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-15 | 2018-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-15 | 2018-08-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-22 | 2017-08-22 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-22 | 2017-08-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-22 | 2017-08-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-22 | 2017-08-22 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-22 | 2017-08-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-22 | 2017-08-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-22 | 2017-08-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-22 | 2017-08-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-22 | 2017-08-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-21 | 2017-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-21 | 2017-06-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-04-21 | 2016-06-29 | 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 | 2016-04-21 | 2016-06-29 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-04-21 | 2016-06-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-21 | 2016-06-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-21 | 2016-06-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-21 | 2016-06-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-21 | 2016-06-29 | 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 | 2016-04-21 | 2016-06-29 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-04-21 | 2016-06-29 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-21 | 2016-06-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-21 | 2016-06-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-21 | 2016-06-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-04-21 | 2016-06-29 | N |
