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Deficiency Records for William Penn Healthcare and Rehabilitation Center
A list of the most recent deficiencies for William Penn Healthcare and Rehabilitation 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 William Penn Healthcare and Rehabilitation 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 | 2024-06-25 | 2024-07-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-06-25 | 2024-07-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-25 | 2024-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-25 | 2024-07-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-25 | 2024-07-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-25 | 2024-07-24 | 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 | 2024-06-25 | 2024-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-25 | 2024-07-24 | 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 | 2024-06-25 | 2024-07-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-25 | 2024-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-25 | 2024-07-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-11 | 2024-07-15 | 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 | 2024-06-11 | 2024-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-11 | 2024-07-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-30 | 2023-08-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-06-30 | 2023-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-30 | 2023-08-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-30 | 2023-08-07 | 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 | 2023-06-30 | 2023-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-30 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-30 | 2023-08-07 | N |
| Meet other general requirements. | Fire Safety | 2023-06-13 | 2023-08-04 | 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 | 2023-06-13 | 2023-08-04 | N |
| Meet other general requirements. | Fire Safety | 2023-06-13 | 2023-08-04 | N |
| Meet other general requirements. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-25 | 2022-09-23 | 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 | 2022-07-25 | 2022-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-14 | 2022-08-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-14 | 2022-08-05 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-14 | 2022-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-05 | N |
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