Deficiency Records for Welch Community Hospital
Updated as of November 01, 2020
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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-28 | 2019-10-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-28 | 2019-10-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-28 | 2019-10-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-28 | 2019-10-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-28 | 2019-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-28 | 2019-10-22 | 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 | 2019-08-28 | 2019-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-28 | 2019-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-10-22 | N |
| 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 |
