Deficiency Records for The Wesleyan Skilled Nursing and Rehabilitation
Updated as of February 01, 2021
This is not the most recent data for The Wesleyan Skilled Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for The Wesleyan Skilled Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-16 | 2019-11-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-10-16 | 2019-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-16 | 2019-11-08 | 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 | 2019-10-16 | 2019-11-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-16 | 2019-11-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-16 | 2019-11-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-15 | 2018-12-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-11-14 | 2018-12-14 | 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 | 2018-11-14 | 2018-12-14 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-11-14 | 2018-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-14 | 2018-12-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-14 | 2018-12-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-14 | 2018-12-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-06-20 | 2018-07-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-20 | 2018-07-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-20 | 2018-07-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-12 | 2018-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-12 | 2018-04-03 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-11-17 | 2017-12-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-17 | 2017-12-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-11-17 | 2017-12-17 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-11-17 | 2017-12-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-17 | 2017-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-17 | 2017-12-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-17 | 2017-12-17 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-17 | 2017-12-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-17 | 2017-12-17 | N |
| Keep all essential equipment working safely. | Health | 2017-11-17 | 2017-12-17 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-11-17 | 2017-12-17 | N |
