Deficiency Records for Paradigm at Westbury
Updated as of April 01, 2020
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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-10 | 2020-01-23 | 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 | 2020-01-10 | 2020-01-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-01-10 | 2020-01-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-10 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-01-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-01-07 | 2020-01-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2020-01-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-07 | 2020-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-07 | 2020-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-07 | 2020-01-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2020-01-07 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-08-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-08 | 2019-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-08 | 2019-08-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-08 | 2019-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-08 | 2019-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-08 | 2019-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-08 | 2019-08-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-12 | 2019-08-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-12 | 2019-08-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-12 | 2019-08-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-12 | 2019-08-12 | 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 | 2019-07-12 | 2019-08-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-12 | 2019-08-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-07-12 | 2019-08-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2019-07-12 | 2019-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-08-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-12 | 2019-08-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-24 | 2019-06-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-20 | 2019-03-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-20 | 2019-03-22 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-01-31 | 2019-03-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-29 | 2019-02-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-31 | 2019-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-02-25 | 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 | 2019-01-31 | 2019-02-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-01-31 | 2019-02-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-29 | 2019-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-29 | 2019-02-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-31 | 2019-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-15 | 2018-11-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-21 | 2018-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-06 | 2018-07-27 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
