Inspection Results » Comprehensive Rehab & Nursing Center at Williamsville

Health Inspection on October 16, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Keep all essential equipment working safely. (Corrected 2018-12-14)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-14)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-12-14)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-14)
   • Implement a program that monitors antibiotic use. (Corrected 2018-12-14)
   • 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. (Corrected 2018-12-14)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-12-14)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-14)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-14)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-12-14)

3. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-14)