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Deficiency Records for Neffsville Nursing and Rehabilitation

A list of the most recent deficiencies for Neffsville Nursing and Rehabilitation. 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 Neffsville Nursing and Rehabilitation. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-21 2024-02-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-21 2024-02-01 N
Ensure each resident receives an accurate assessment. Health 2023-12-21 2024-02-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-21 2024-02-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-21 2024-02-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-21 2024-02-01 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 2023-12-21 2024-02-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-21 2024-02-01 N
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 2023-12-21 2024-02-01 N
Ensure that residents are free from significant medication errors. Health 2023-12-21 2024-02-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-06 2024-01-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-12-06 2024-01-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-06 2024-01-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-06 2024-01-03 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-12-06 2024-01-03 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-03-03 2023-04-18 N
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 2023-03-03 2023-04-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-03 2023-04-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-03 2023-04-18 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-03 2023-04-18 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 2023-03-03 2023-04-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-03 2023-04-18 N
Provide and implement an infection prevention and control program. Health 2023-03-03 2023-04-18 N
Meet other general requirements. Fire Safety 2023-03-14 2023-04-18 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-03-14 2023-04-18 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-14 2023-04-18 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 2023-03-14 2023-04-18 N
Meet other general requirements. Fire Safety 2023-03-14 2023-04-18 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-08 2022-07-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-08 2022-07-15 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-06-08 2022-07-15 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-06-08 2022-07-15 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 2022-01-28 2022-03-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-01-28 2022-03-15 N
Ensure each resident receives an accurate assessment. Health 2022-01-28 2022-03-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-28 2022-03-15 N
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 2022-01-28 2022-03-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-28 2022-03-15 N
Provide enough food/fluids to maintain a resident's health. Health 2022-01-28 2022-03-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-01-28 2022-03-15 N
Observe each nurse aide's job performance and give regular training. Health 2022-01-28 2022-03-15 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 2022-01-28 2022-03-15 N
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 2022-01-28 2022-03-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-28 2022-03-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-28 2022-03-15 N
Provide and implement an infection prevention and control program. Health 2022-01-28 2022-03-15 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-01-28 2022-03-15 N
Meet other general requirements. Fire Safety 2022-01-24 2022-02-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-01-24 2022-02-21 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2022-01-24 2022-02-21 N

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