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Deficiency Records for Zahav of Berwyn
A list of the most recent deficiencies for Zahav of Berwyn. 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 Zahav of Berwyn. 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 | 2024-09-13 | 2024-09-20 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-09-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-07-22 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-08 | 2024-07-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-08 | 2024-07-22 | 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 | 2024-07-08 | 2024-07-22 | Y |
Have proper power supply for life support equipment. | Fire Safety | 2024-05-01 | 2024-07-22 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-05-01 | 2024-07-08 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-01 | 2024-07-01 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-05-01 | 2024-06-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-01 | 2024-06-05 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-25 | 2024-05-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-25 | 2024-05-07 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-25 | 2024-05-07 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-25 | 2024-05-07 | 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 | 2024-04-25 | 2024-05-07 | N |
Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-05-07 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-05-07 | 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 | 2024-04-25 | 2024-05-07 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-25 | 2024-05-07 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-01 | 2024-05-02 | 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 | 2024-05-01 | 2024-05-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-01 | 2024-05-02 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-04-19 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-12 | 2024-04-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-04-19 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-30 | 2023-06-14 | Y |
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-05-30 | 2023-06-14 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-05-30 | 2023-06-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-06-14 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-19 | 2023-03-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-19 | 2023-03-01 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-19 | 2023-03-01 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-19 | 2023-03-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-05 | 2023-01-09 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-08 | 2022-12-22 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-08 | 2022-12-22 | 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 | 2022-12-08 | 2022-12-22 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-08 | 2022-12-22 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-12-02 | 2022-12-14 | 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 | 2022-12-02 | 2022-12-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2022-12-14 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-02 | 2022-12-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-02 | 2022-12-14 | 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 | 2022-12-02 | 2022-12-14 | 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 | 2022-11-10 | 2022-11-16 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-07 | 2022-08-22 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-29 | 2022-07-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-29 | 2022-07-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-07-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-15 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-29 | 2022-07-15 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-29 | 2022-07-15 | Y |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-06-29 | 2022-07-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-10 | 2022-05-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-10 | 2022-05-25 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-04-07 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-06 | 2022-04-07 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-06 | 2022-04-07 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-13 | 2022-01-29 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-20 | 2022-01-29 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-19 | 2022-01-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-19 | 2022-01-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-20 | 2021-12-10 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-20 | 2021-12-10 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-11-20 | 2021-12-10 | Y |
Establish staff and initial training requirements. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-02-10 | 2021-02-25 | 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 | 2021-02-10 | 2021-02-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-10 | 2021-02-25 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-05 | 2021-02-18 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-02-05 | 2021-02-18 | 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 | 2021-02-05 | 2021-02-18 | N |
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