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Deficiency Records for York Healthcare and Wellness Centre

A list of the most recent deficiencies for York Healthcare and Wellness Centre. 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 York Healthcare and Wellness Centre. 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 pressure ulcer care and prevent new ulcers from developing. Health 2024-09-06 2024-09-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-14 2024-09-03 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-06-25 2024-07-25 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-05-09 2024-06-07 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2024-05-09 2024-06-07 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-05-09 2024-06-07 N
Keep residents' personal and medical records private and confidential. Health 2024-05-09 2024-06-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-09 2024-06-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-09 2024-06-07 N
Ensure that residents are free from significant medication errors. Health 2024-05-09 2024-06-07 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 2024-05-09 2024-06-07 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-05-09 2024-06-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-09 2024-06-07 N
Dispose of garbage and refuse properly. Health 2024-05-09 2024-06-07 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-05-09 2024-06-07 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-05-09 2024-06-07 N
Provide and implement an infection prevention and control program. Health 2024-05-09 2024-06-07 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-05-09 2024-06-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-09 2024-06-07 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-05-13 2024-06-03 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-05-13 2024-06-03 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2024-05-13 2024-06-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-13 2024-06-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-13 2024-06-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-05-13 2024-06-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-13 2024-06-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-05-13 2024-06-03 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-04-11 2024-04-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-19 2024-04-08 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-03-18 2024-04-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-13 2024-04-06 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-01-31 2024-02-14 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-12-07 2024-01-31 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-07 2024-01-31 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-29 2024-01-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-29 2024-01-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-07 2023-12-29 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-12-07 2023-12-29 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-04-25 2023-04-30 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-08-17 2022-09-21 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-03-11 2022-04-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-11 2022-04-11 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-03-11 2022-04-11 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-11 2022-04-11 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-03-11 2022-04-11 N
Post nurse staffing information every day. Health 2022-03-11 2022-04-11 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-03-11 2022-04-11 N
Provide and implement an infection prevention and control program. Health 2022-03-11 2022-04-11 N
Implement a program that monitors antibiotic use. Health 2022-03-11 2022-04-11 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-03-11 2022-04-11 N
Provide and implement an infection prevention and control program. Health 2021-11-18 2021-12-16 Y
Have properly located and lighted "Exit" signs. Fire Safety 2019-04-25 2019-06-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-25 2019-06-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-04-25 2019-06-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-04-25 2019-06-05 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-04-25 2019-05-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-25 2019-05-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-04-25 2019-05-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-25 2019-05-30 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 2019-04-25 2019-05-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-04-25 2019-05-30 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 2019-04-25 2019-05-30 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-04-25 2019-05-30 N
Provide and implement an infection prevention and control program. Health 2019-04-25 2019-05-30 N
Implement a program that monitors antibiotic use. Health 2019-04-25 2019-05-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-04-25 2019-05-30 N

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