CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Western Convalescent Hospital
View the most recent health deficiencies and inspection results for Western Convalescent Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Western Convalescent Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-29 | 2026-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-10 | 2025-12-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-18 | 2025-10-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-18 | 2025-10-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-18 | 2025-10-03 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-09-18 | 2025-10-03 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-09-18 | 2025-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-27 | 2025-09-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-27 | 2025-09-11 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-27 | 2025-09-11 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-08-27 | 2025-09-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-08 | 2025-04-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-08 | 2025-04-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-21 | 2025-04-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-21 | 2025-04-11 | 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 | 2025-03-21 | 2025-04-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-03-21 | 2025-04-11 | 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 | 2025-03-21 | 2025-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-21 | 2025-04-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-21 | 2025-04-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-03-21 | 2025-04-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-03-21 | 2025-04-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-03-21 | 2025-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-21 | 2025-04-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-03-21 | 2025-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-21 | 2025-04-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-01-29 | 2025-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-29 | 2025-02-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-12-11 | 2024-12-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-29 | 2024-11-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-29 | 2024-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-29 | 2024-11-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-25 | 2024-11-08 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-10-25 | 2024-11-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-22 | 2024-09-03 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-03-22 | 2024-04-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-22 | 2024-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-22 | 2024-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-22 | 2024-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-22 | 2024-04-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-22 | 2024-04-12 | 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 | 2024-03-22 | 2024-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-22 | 2024-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-22 | 2024-04-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-22 | 2024-04-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-22 | 2024-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-23 | 2023-09-07 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-08-17 | 2021-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-17 | 2021-09-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-17 | 2021-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-17 | 2021-09-03 | 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 | 2021-08-17 | 2021-09-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-17 | 2021-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-08-17 | 2021-09-03 | 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 | 2021-08-17 | 2021-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-17 | 2021-09-03 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-17 | 2021-09-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-17 | 2021-09-03 | 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 | 2021-08-17 | 2021-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-17 | 2021-09-03 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-08-17 | 2021-09-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-17 | 2021-09-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-17 | 2021-09-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-17 | 2021-09-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-08-17 | 2021-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-17 | 2021-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-17 | 2021-08-17 | N |