A list of the most recent deficiencies for We Care Skilled Nursing Facility. 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 | 2023-10-19 | 2023-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-19 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-19 | 2023-11-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2023-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-22 | 2022-06-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-22 | 2022-06-22 | 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 | 2022-04-22 | 2022-06-22 | 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 | 2022-04-22 | 2022-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-06-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-04-22 | 2022-06-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-28 | 2020-01-24 | N |
