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Deficiency Records for Lansdowne Village

A list of the most recent deficiencies for Lansdowne Village. 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 Lansdowne Village. 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?
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 2024-06-14 2024-07-11 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-08 2024-04-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-03-08 2024-04-03 N
Ensure medication error rates are not 5 percent or greater. Health 2024-03-08 2024-04-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-08 2024-04-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-08 2024-04-03 N
Provide and implement an infection prevention and control program. Health 2024-03-08 2024-04-03 N
Ensure that residents are free from significant medication errors. Health 2024-03-08 2024-04-03 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 2024-03-08 2024-04-03 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2024-03-08 2024-04-03 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 2024-03-08 2024-04-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-08 2024-04-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-03-08 2024-04-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-03-08 2024-04-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-03-08 2024-04-03 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-08 2024-04-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-08 2024-02-08 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 2023-09-07 2023-10-05 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-07 2023-10-05 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-09-07 2023-10-05 Y
Provide and implement an infection prevention and control program. Health 2023-09-07 2023-10-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-26 2023-09-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-26 2023-09-06 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 2023-07-26 2023-09-06 Y
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 2023-02-16 2023-03-15 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-02-16 2023-02-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-14 2023-01-10 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-11 2022-08-08 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 2022-04-11 2022-07-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-11 2022-07-21 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-04-11 2022-05-18 N
Honor the resident's right to manage his or her financial affairs. Health 2022-04-11 2022-05-18 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2022-04-11 2022-05-18 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2022-04-11 2022-05-18 N
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Health 2022-04-11 2022-05-18 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2022-04-11 2022-05-18 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-04-11 2022-05-18 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-04-11 2022-05-18 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-04-11 2022-05-18 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-04-11 2022-05-18 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-04-11 2022-05-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-11 2022-05-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-11 2022-05-18 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-04-11 2022-05-18 N
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 2022-04-11 2022-05-18 N
Post nurse staffing information every day. Health 2022-04-11 2022-05-18 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-04-11 2022-05-18 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-04-11 2022-05-18 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 2022-04-11 2022-05-18 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-04-11 2022-05-18 N
Provide or get specialized rehabilitative services as required for a resident. Health 2022-04-11 2022-05-18 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-04-11 2022-05-18 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 2022-04-11 2022-05-18 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-04-11 2022-05-18 N
Ensure staff are vaccinated for COVID-19 Health 2022-04-11 2022-05-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-11 2022-05-18 Y
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 2022-04-11 2022-05-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-11 2022-05-18 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-04-11 2022-05-18 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-04-11 2022-05-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-11 2022-05-18 Y
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 2022-04-11 2022-05-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-11 2022-05-18 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-04-11 2022-05-18 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-04-11 2022-05-18 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-04-11 2022-05-18 Y
Ensure that residents are free from significant medication errors. Health 2022-04-11 2022-05-18 Y
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2022-04-11 2022-05-18 Y
Implement emergency and standby power systems. Fire Safety 2022-04-11 2022-05-18 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 2022-04-11 2022-05-18 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-04-11 2022-05-18 N
Provide properly protected cooking facilities. Fire Safety 2022-04-11 2022-05-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-04-11 2022-05-18 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-04-11 2022-05-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-04-11 2022-05-18 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-04-11 2022-05-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-11 2022-05-18 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-11 2022-05-18 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-04-11 2022-05-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-11 2022-05-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-28 2019-12-11 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-10-28 2019-12-11 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 2019-10-28 2019-12-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-10-28 2019-12-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-28 2019-12-11 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 2019-10-28 2019-12-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-10-28 2019-12-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-28 2019-12-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-28 2019-12-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-10-28 2019-12-11 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-10-28 2019-12-11 N

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