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Deficiency Records for The Gardens at Camp Hill
A list of the most recent deficiencies for The Gardens at Camp Hill. 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 The Gardens at Camp Hill. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-12 | 2024-10-01 | 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 | 2024-08-12 | 2024-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-12 | 2024-10-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-01 | 2024-09-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-01 | 2024-09-10 | 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 | 2024-08-01 | 2024-09-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-01 | 2024-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-01 | 2024-09-10 | 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 | 2024-08-01 | 2024-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-09-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-01 | 2024-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-09-10 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-01 | 2024-09-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-01 | 2024-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-01 | 2024-09-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-01 | 2024-09-10 | 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 | 2024-08-01 | 2024-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-01 | 2024-09-10 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-01 | 2024-07-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-29 | 2024-06-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-01 | 2024-04-24 | 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 | 2023-09-28 | 2023-10-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-28 | 2023-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-28 | 2023-10-25 | 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 | 2023-09-28 | 2023-10-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-28 | 2023-10-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-28 | 2023-10-25 | 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 | 2023-09-28 | 2023-10-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-26 | 2022-11-17 | 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 | 2022-09-26 | 2022-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-26 | 2022-11-17 | 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 | 2022-09-15 | 2022-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-15 | 2022-10-18 | 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 | 2022-09-15 | 2022-10-18 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-15 | 2022-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-15 | 2022-10-18 | 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 | 2022-09-15 | 2022-10-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-15 | 2022-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-10-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-16 | 2022-02-25 | Y |
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