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Deficiency Records for Williamsport Nursing Home
A list of the most recent deficiencies for Williamsport Nursing Home. 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 Williamsport Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2022-06-24 | 2022-12-21 | 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 | 2022-06-24 | 2022-12-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-24 | 2022-12-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-24 | 2022-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-24 | 2022-12-21 | 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 | 2022-06-24 | 2022-12-21 | 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 | 2022-06-24 | 2022-12-21 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2022-06-24 | 2022-12-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-24 | 2022-12-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-24 | 2022-12-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-24 | 2022-12-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-24 | 2022-12-21 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-24 | 2022-12-21 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-24 | 2022-08-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-24 | 2022-08-24 | N |
| 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 | 2022-06-24 | 2022-08-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-24 | 2022-08-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-24 | 2022-08-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-24 | 2022-08-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-24 | 2022-08-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-24 | 2022-08-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-24 | 2022-08-24 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-24 | 2022-08-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-24 | 2022-08-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-24 | 2022-08-24 | 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 | 2022-06-24 | 2022-08-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-24 | 2022-08-24 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-06-24 | 2022-08-24 | Y |
| Post nurse staffing information every day. | Health | 2022-06-24 | 2022-08-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-24 | 2022-08-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-24 | 2022-08-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-24 | 2022-08-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-24 | 2022-08-24 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-24 | 2022-08-24 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-24 | 2022-08-24 | Y |
| Keep all essential equipment working safely. | Health | 2022-06-24 | 2022-08-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-19 | 2018-12-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-10-19 | 2018-12-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-19 | 2018-12-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-19 | 2018-12-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2018-12-13 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-10-19 | 2018-12-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-19 | 2018-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-19 | 2018-12-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-19 | 2018-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-19 | 2018-12-13 | 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 | 2018-10-19 | 2018-12-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-19 | 2018-12-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-19 | 2018-12-13 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-10-19 | 2018-12-13 | 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 | 2018-10-19 | 2018-12-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-19 | 2018-12-13 | N |
| Post nurse staffing information every day. | Health | 2018-10-19 | 2018-12-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-19 | 2018-12-13 | 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 | 2018-10-19 | 2018-12-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-10-19 | 2018-12-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-10-19 | 2018-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-19 | 2018-12-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2018-12-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-10-17 | 2018-11-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-17 | 2018-11-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-11 | 2017-09-01 | N |
| Provide resident groups or resident family groups with private space to meet. | Health | 2017-07-11 | 2017-09-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-11 | 2017-09-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-11 | 2017-09-01 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-11 | 2017-09-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-11 | 2017-09-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-11 | 2017-09-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-11 | 2017-09-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-11 | 2017-09-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-11 | 2017-09-01 | N |
| Meet other general requirements. | Fire Safety | 2017-04-20 | 2017-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-20 | 2017-06-01 | N |
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