Deficiency Records for The Wesleyan Skilled Nursing and Rehabilitation
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-19 | 2021-11-24 | 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 | 2020-10-14 | 2020-11-05 | Y |
| 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 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-15 | 2018-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-15 | 2018-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-15 | 2018-12-15 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | 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 |
| 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 | 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 |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-14 | 2018-12-14 | N |
