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Deficiency Records for Yorktown Rehabilitation and Nursing Center
A list of the most recent deficiencies for Yorktown Rehabilitation and Nursing 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 Yorktown Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| 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 | 2024-01-24 | 2024-03-13 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-01-24 | 2024-03-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-24 | 2024-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-24 | 2024-03-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-24 | 2024-03-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-24 | 2024-03-13 | 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 | 2024-01-24 | 2024-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-24 | 2024-03-13 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-06-01 | 2023-08-01 | 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 | 2022-12-06 | 2023-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-16 | 2021-12-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-16 | 2021-12-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-28 | 2020-12-18 | 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 | 2020-10-28 | 2020-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-28 | 2020-12-18 | 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 | 2020-10-28 | 2020-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-28 | 2020-12-18 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-10-28 | 2020-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-28 | 2020-12-18 | N |
| Keep all essential equipment working safely. | Health | 2020-10-28 | 2020-12-18 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2020-10-29 | 2020-12-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-10-29 | 2020-12-18 | 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 | 2020-10-29 | 2020-12-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-05 | 2018-12-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-10-05 | 2018-11-01 | N |
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