Deficiency Records for Paradigm at Westbury
Updated as of July 01, 2018
This is not the most recent data for Paradigm at Westbury. For the most recent information, click here.
A list of the most recent deficiencies for Paradigm at Westbury. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2018-04-12 | 2018-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-12 | 2018-05-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-12 | 2018-05-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-12 | 2018-05-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-12 | 2018-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-12 | 2018-05-10 | Y |
| 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 | 2018-04-12 | 2018-05-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-12 | 2018-05-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-12 | 2018-05-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-12 | 2018-05-10 | Y |
| Implement a program that monitors antibiotic use. | Health | 2018-04-12 | 2018-05-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-10 | 2018-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-08 | 2018-03-22 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-06 | 2017-11-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-13 | 2017-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-13 | 2017-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-13 | 2017-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-13 | 2017-08-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-06-16 | 2017-08-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-25 | 2017-08-14 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-25 | 2017-08-14 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-05-25 | 2017-08-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-18 | 2017-08-14 | 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 | 2017-07-18 | 2017-08-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-18 | 2017-08-14 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-18 | 2017-08-14 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-07-18 | 2017-08-14 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-18 | 2017-08-14 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-18 | 2017-08-14 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-18 | 2017-08-14 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-18 | 2017-08-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-18 | 2017-08-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-07-18 | 2017-08-14 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-07-18 | 2017-08-14 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-07-18 | 2017-08-14 | Y |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-07-18 | 2017-08-14 | Y |
| 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 | 2017-06-16 | 2017-07-18 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-05-25 | 2017-07-18 | Y |
| 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 | 2017-05-25 | 2017-07-18 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-25 | 2017-07-18 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-25 | 2017-07-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-25 | 2017-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-25 | 2017-07-18 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-12 | 2017-05-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-12 | 2017-05-05 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-28 | 2017-03-30 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-10 | 2017-02-09 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-26 | 2016-11-25 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-10-26 | 2016-11-25 | Y |
| 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 | 2016-10-26 | 2016-11-25 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-10-26 | 2016-11-25 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-16 | 2016-09-23 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-08-11 | 2016-08-17 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-19 | 2016-07-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-05-19 | 2016-07-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-19 | 2016-07-18 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-05-19 | 2016-07-18 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-05-19 | 2016-07-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-19 | 2016-07-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-19 | 2016-07-18 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-05-19 | 2016-07-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-19 | 2016-07-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-05-19 | 2016-07-18 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2016-05-19 | 2016-07-18 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-05-19 | 2016-07-18 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2016-05-19 | 2016-07-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-19 | 2016-07-18 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-05-19 | 2016-07-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-17 | 2016-07-01 | N |
