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Deficiency Records for Lebanon Center, Genesis Healthcare
A list of the most recent deficiencies for Lebanon Center, Genesis Healthcare. 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 Lebanon Center, Genesis Healthcare. 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? |
|---|---|---|---|---|
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-07-09 | 2024-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-09 | 2024-09-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-09 | 2024-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-09 | 2024-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-09 | 2024-09-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-07-11 | 2024-08-29 | 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 | 2024-07-11 | 2024-08-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-11 | 2024-08-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-11 | 2024-08-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-07-11 | 2024-08-28 | 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 | 2024-07-11 | 2024-08-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-11 | 2024-08-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-11 | 2024-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-14 | N |
| Post nurse staffing information every day. | Health | 2024-07-11 | 2024-08-13 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-07-11 | 2024-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-07-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-21 | 2024-02-14 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-21 | 2024-01-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-19 | 2023-06-08 | 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 | 2023-04-19 | 2023-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-19 | 2023-06-07 | 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 | 2023-04-19 | 2023-06-02 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-19 | 2023-06-02 | 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 | 2023-04-18 | 2023-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-18 | 2023-05-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-23 | 2022-07-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-23 | 2022-07-20 | 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 | 2022-05-23 | 2022-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-23 | 2022-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-23 | 2022-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-23 | 2022-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-23 | 2022-07-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-25 | 2022-06-13 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-25 | 2022-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-25 | 2022-06-13 | 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 | 2022-05-25 | 2022-06-13 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-05-25 | 2022-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-25 | 2022-06-13 | 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 | 2022-05-25 | 2022-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-06-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-25 | 2022-06-13 | N |
| Report COVID19 data to residents and families. | Health | 2022-05-25 | 2022-06-13 | N |
| Keep all essential equipment working safely. | Health | 2022-05-25 | 2022-06-13 | N |
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