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Deficiency Records for Extended Care Hospital of Westminster
View the most recent health deficiencies and inspection results for Extended Care Hospital of Westminster. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Extended Care Hospital of Westminster. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-11-05 | 2025-12-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-01 | 2025-07-28 | 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 | 2025-07-01 | 2025-07-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-07-01 | 2025-07-28 | 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 | 2025-07-01 | 2025-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-01 | 2025-07-28 | N |
| Provide activities to meet all resident's needs. | Health | 2025-07-01 | 2025-07-28 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-01 | 2025-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-01 | 2025-07-28 | 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 | 2025-07-01 | 2025-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-01 | 2025-07-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-07-01 | 2025-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-01 | 2025-07-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-07-01 | 2025-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-01 | 2025-07-28 | Y |
| 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 | 2025-07-01 | 2025-07-28 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-01 | 2025-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-01 | 2025-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-01 | 2025-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-06 | 2024-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-06 | 2024-08-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-23 | 2024-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-23 | 2024-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-23 | 2024-06-11 | 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 | 2024-05-23 | 2024-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-10 | 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 | 2024-05-23 | 2024-06-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-23 | 2024-06-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-23 | 2024-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-06-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-05-23 | 2024-06-08 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-23 | 2024-06-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-23 | 2024-06-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-23 | 2024-06-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-23 | 2024-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-23 | 2024-06-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-23 | 2024-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-05-30 | N |
| Keep all essential equipment working safely. | Health | 2024-05-23 | 2024-05-25 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-23 | 2024-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-28 | 2023-10-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-07 | 2022-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-07 | 2022-10-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-07 | 2022-10-07 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-07 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-07 | 2022-10-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-07 | 2022-10-07 | 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 | 2022-09-07 | 2022-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-07 | 2022-10-07 | 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 | 2022-09-07 | 2022-10-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-07 | 2022-10-07 | 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 | 2022-09-07 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-07 | 2022-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-07 | 2022-09-19 | N |