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Deficiency Records for Altoona Nursing and Rehabilitation Center
A list of the most recent deficiencies for Altoona Nursing and Rehabilitation 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 Altoona Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-07 | 2024-08-22 | Y |
| 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 | 2024-08-07 | 2024-08-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-08-22 | Y |
| 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 | 2024-08-07 | 2024-08-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-11 | 2024-05-02 | 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 | 2024-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-05-02 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-11 | 2024-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-11 | 2024-05-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-11 | 2024-05-02 | Y |
| 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 | 2024-04-11 | 2024-05-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-11 | 2024-05-02 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-11 | 2024-05-02 | 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 | 2024-04-11 | 2024-05-02 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-18 | 2024-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-18 | 2024-04-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-18 | 2024-04-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-04-18 | 2024-04-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-18 | 2024-04-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-13 | 2024-03-11 | Y |
| 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 | 2024-02-13 | 2024-03-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-13 | 2024-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-13 | 2024-03-11 | 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 | 2024-02-13 | 2024-03-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-13 | 2024-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-13 | 2024-03-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-28 | 2023-12-15 | Y |
| 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 | 2023-11-28 | 2023-12-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-28 | 2023-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-28 | 2023-12-15 | 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 | 2023-11-28 | 2023-12-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-29 | 2023-02-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-29 | 2023-02-08 | 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 | 2022-12-29 | 2023-02-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-29 | 2023-02-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-29 | 2023-02-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-29 | 2023-02-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-29 | 2023-02-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-29 | 2023-02-08 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-12-29 | 2023-02-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-29 | 2023-02-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-29 | 2023-02-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-29 | 2023-02-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-29 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-29 | 2023-02-08 | Y |
| 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 | 2022-12-29 | 2023-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-02-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-29 | 2023-01-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-29 | 2023-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-29 | 2023-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-29 | 2023-01-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-29 | 2023-01-06 | 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 | 2022-12-29 | 2023-01-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-29 | 2022-12-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-29 | 2022-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-29 | 2022-12-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-31 | 2022-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-31 | 2022-10-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-31 | 2022-10-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-31 | 2022-10-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-23 | 2022-04-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-23 | 2022-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-23 | 2022-04-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-30 | 2021-07-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-30 | 2021-07-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-06-30 | 2021-07-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-30 | 2021-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-30 | 2021-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-30 | 2021-07-21 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-30 | 2021-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-30 | 2021-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-30 | 2021-07-21 | 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 | 2021-06-30 | 2021-07-21 | 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 | 2021-06-30 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-30 | 2021-07-21 | 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 | 2021-06-23 | 2021-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-07-05 | N |
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