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Deficiency Records for Harborview Rehabilitation and Care Center at Lansd
A list of the most recent deficiencies for Harborview Rehabilitation and Care Center at Lansd. 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 Harborview Rehabilitation and Care Center at Lansd. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-11 | 2024-06-25 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-02-08 | 2024-03-19 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-02-08 | 2024-03-19 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-02-08 | 2024-03-19 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-02-08 | 2024-03-19 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-08 | 2024-03-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-02-08 | 2024-03-19 | 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 | 2024-02-08 | 2024-03-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-08 | 2024-03-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-08 | 2024-03-19 | 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 | 2024-02-08 | 2024-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-08 | 2024-03-19 | N |
| Provide appropriate foot care. | Health | 2024-02-08 | 2024-03-19 | 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 | 2024-02-08 | 2024-03-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-02-08 | 2024-03-19 | 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 | 2024-02-08 | 2024-03-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-08 | 2024-03-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-08 | 2024-03-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-08 | 2024-03-19 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-08 | 2024-03-19 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-02-08 | 2024-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-08 | 2024-03-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-08 | 2024-03-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-08 | 2024-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-08 | 2024-03-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-08 | 2024-03-19 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2024-02-08 | 2024-03-19 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-02-08 | 2024-03-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-02-08 | 2024-03-19 | 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 | 2024-02-08 | 2024-03-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-03-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-03-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-20 | 2023-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-20 | 2023-10-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-10-20 | 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 | 2023-05-01 | 2023-05-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-05-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-03-09 | 2023-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-05-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-09 | 2023-05-08 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-09 | 2023-05-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-09 | 2023-05-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-09 | 2023-05-08 | Y |
| 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 | 2023-03-09 | 2023-05-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-09 | 2023-05-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-05-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-05-08 | Y |
| Keep all essential equipment working safely. | Health | 2023-03-09 | 2023-05-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-09 | 2023-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-24 | 2023-02-15 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-05-25 | 2022-06-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-14 | 2022-05-10 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-14 | 2022-05-10 | 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 | 2022-04-14 | 2022-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-14 | 2022-05-10 | 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 | 2022-04-14 | 2022-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-14 | 2022-05-10 | 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 | 2022-04-14 | 2022-05-10 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-14 | 2022-05-10 | N |
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