A list of the most recent deficiencies for The Arbour at Westminster Manor. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-07-21 | 2023-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-21 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-09-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-19 | 2023-09-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-19 | 2023-09-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-19 | 2023-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-19 | 2023-09-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-26 | 2022-12-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-23 | 2020-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-23 | 2020-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-23 | 2020-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-22 | 2020-03-01 | N |
