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Deficiency Records for Wecare at Murrysville Rehab and Nursing Center
A list of the most recent deficiencies for Wecare at Murrysville Rehab 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 Wecare at Murrysville Rehab 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? |
|---|---|---|---|---|
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-25 | 2024-10-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-13 | 2024-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-10-08 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-20 | 2024-09-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-20 | 2024-09-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-05 | 2024-04-29 | 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 | 2024-04-05 | 2024-04-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-04-29 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-04-05 | 2024-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-05 | 2024-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-05 | 2024-04-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-05 | 2024-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-04-29 | 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 | 2024-04-05 | 2024-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-05 | 2024-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-05 | 2024-04-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-05 | 2024-04-29 | 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 | 2024-04-05 | 2024-04-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-05 | 2024-04-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-04-05 | 2024-04-29 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-04-05 | 2024-04-29 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-04-05 | 2024-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-04-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-04-05 | 2024-04-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-05 | 2024-04-29 | 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 | 2024-04-05 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-04-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-04-05 | 2024-04-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-05 | 2024-04-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-05 | 2024-04-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-18 | 2024-04-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-24 | 2024-02-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-24 | 2024-02-21 | 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 | 2024-01-24 | 2024-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-24 | 2024-02-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-24 | 2024-02-21 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-12-27 | 2024-01-25 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-05 | 2023-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-22 | 2023-10-19 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-09-22 | 2023-10-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-07 | 2023-07-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-07 | 2023-07-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-07 | 2023-07-25 | 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 | 2023-06-07 | 2023-07-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-07 | 2023-07-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-07 | 2023-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-05-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-19 | 2023-05-23 | 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 | 2023-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-19 | 2023-05-23 | 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 | 2023-04-19 | 2023-05-23 | N |
| Post nurse staffing information every day. | Health | 2023-04-19 | 2023-05-23 | 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 | 2023-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-05-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-04-19 | 2023-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-19 | 2023-05-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-19 | 2023-01-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-15 | 2022-11-22 | Y |
| Keep all essential equipment working safely. | Health | 2022-09-21 | 2022-11-21 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-21 | 2022-10-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-26 | 2022-09-20 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-08-26 | 2022-09-20 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-05-09 | 2022-06-09 | Y |
| 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 | 2022-05-09 | 2022-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-09 | 2022-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-09 | 2022-06-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-09 | 2022-06-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-09 | 2022-06-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-09 | 2022-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-09 | 2022-06-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-09 | 2022-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-06-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-09 | 2022-06-09 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-05-09 | 2022-06-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-09 | 2022-06-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-09 | 2022-06-09 | Y |
| 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 | 2022-05-09 | 2022-05-20 | 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 | 2022-05-09 | 2022-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-09 | 2022-05-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-09 | 2022-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-09 | 2022-05-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-25 | 2022-04-29 | Y |
| 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 | 2022-02-07 | 2022-02-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-11-18 | 2021-12-17 | 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 | 2021-11-18 | 2021-12-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-18 | 2021-12-17 | Y |
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