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Deficiency Records for Penn Mar Healthcare Center
A list of the most recent deficiencies for Penn Mar Healthcare Center. 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 Penn Mar Healthcare Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-28 | 2024-09-22 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-08-05 | 2024-08-29 | Y |
| 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 | 2024-07-12 | 2024-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-04 | 2024-06-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-04 | 2024-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-04 | 2024-06-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-07 | 2024-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-02 | 2024-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-02 | 2024-04-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-20 | 2024-04-16 | 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 | 2024-03-20 | 2024-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-04-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-08 | 2024-01-08 | 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 | 2023-12-08 | 2024-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2024-01-08 | N |
| 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. | Health | 2023-12-08 | 2024-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-08 | 2024-01-08 | N |
| Post nurse staffing information every day. | Health | 2023-12-08 | 2024-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-08 | 2024-01-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-08 | 2024-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-08 | 2024-01-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-08 | 2024-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-08 | 2024-01-08 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-12-08 | 2024-01-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-08 | 2024-01-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-08 | 2024-01-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-13 | 2024-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-07 | 2023-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-28 | 2023-08-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-07-28 | 2023-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-04-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-16 | 2023-04-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-16 | 2023-04-21 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-13 | 2023-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-13 | 2023-02-17 | 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 | 2023-01-13 | 2023-02-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-13 | 2023-02-17 | 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 | 2023-01-13 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-17 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-01-13 | 2023-02-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-12 | 2023-02-17 | 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 | 2023-01-12 | 2023-02-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-01-12 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-16 | 2020-02-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-16 | 2020-02-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-16 | 2020-02-05 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2020-01-16 | 2020-02-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-16 | 2020-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-16 | 2020-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-10 | 2020-01-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-10 | 2020-01-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-10 | 2020-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-01-28 | N |
| Keep all essential equipment working safely. | Health | 2020-01-10 | 2020-01-28 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2020-01-10 | 2020-01-28 | N |
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