Deficiency Records for Westover Hills Rehabilitation and Healthcare
Updated as of March 01, 2022
This is not the most recent data for Westover Hills Rehabilitation and Healthcare. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-01 | 2021-05-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-01 | 2021-05-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-08 | 2020-12-08 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-08-26 | 2020-09-15 | Y |
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-12 | 2019-01-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-14 | 2019-01-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-14 | 2019-01-24 | 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 | 2018-12-14 | 2019-01-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-14 | 2019-01-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-12-14 | 2019-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-24 | 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 | 2018-12-14 | 2019-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-14 | 2019-01-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-12-14 | 2019-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-14 | 2019-01-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-14 | 2019-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-14 | 2019-01-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-12 | 2019-01-24 | N |
