A list of the most recent deficiencies for Focused Care at Westwood. 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 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 | 2024-01-26 | 2024-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-24 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-26 | 2024-02-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-23 | 2024-02-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-23 | 2024-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-01 | 2023-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-01 | 2022-12-31 | 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 | 2022-12-01 | 2022-12-31 | 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 | 2022-12-01 | 2022-12-31 | 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 | 2022-12-01 | 2022-12-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-17 | 2022-08-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-17 | 2022-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-17 | 2022-08-11 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-10-26 | 2021-10-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-10-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-20 | 2021-10-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-10 | 2021-10-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-09-10 | 2021-10-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-10 | 2021-10-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-10 | 2021-10-08 | Y |
| 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 | 2021-09-10 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-10 | 2021-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-10 | 2021-09-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-09-10 | 2021-09-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-10 | 2021-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-10 | 2021-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-30 | 2021-05-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-30 | 2021-05-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-30 | 2021-05-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-30 | 2021-05-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-03 | Not Fixed | Y |
