Deficiency Records for Westover Hills Rehabilitation and Healthcare
Updated as of May 01, 2024
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Deficiency Records for Westover Hills Rehabilitation and Healthcare
A list of the most recent deficiencies for Westover Hills Rehabilitation and Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Westover Hills Rehabilitation and Healthcare. 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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2023-11-10 | 2023-12-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-10 | 2023-11-10 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-14 | 2023-08-25 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-14 | 2023-08-25 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-08-25 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-14 | 2023-08-25 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-14 | 2023-08-25 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-01 | 2023-06-06 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-25 | 2023-04-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-03-02 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-20 | 2023-02-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-20 | 2023-02-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-09-23 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-11 | 2022-09-23 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-15 | 2021-11-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-15 | 2021-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-15 | 2021-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-12-13 | 2020-01-10 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-13 | 2020-01-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-13 | 2020-01-10 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-12-13 | 2020-01-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-13 | 2020-01-10 | N |
Provide activities to meet all resident's needs. | Health | 2019-12-13 | 2020-01-10 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-13 | 2020-01-10 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-13 | 2020-01-10 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-13 | 2020-01-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-13 | 2020-01-10 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-12-13 | 2020-01-10 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-13 | 2020-01-10 | N |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-12-13 | 2020-01-10 | N |
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2019-12-13 | 2020-01-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-13 | 2020-01-10 | N |
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