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Deficiency Records for Pottsville Rehabilitation and Nursing Center
A list of the most recent deficiencies for Pottsville Rehabilitation 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 Pottsville Rehabilitation 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-15 | 2024-04-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-18 | 2024-04-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-18 | 2024-04-29 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-15 | 2024-03-26 | 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 | 2024-02-15 | 2024-03-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-15 | 2024-03-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-15 | 2024-03-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-15 | 2024-03-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-18 | 2024-03-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-18 | 2024-03-26 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-01-18 | 2024-03-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-01-18 | 2024-03-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-18 | 2024-03-26 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-18 | 2024-03-26 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2024-03-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-17 | 2024-03-26 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-11-17 | 2024-01-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-17 | 2024-01-18 | 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 | 2023-11-17 | 2024-01-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-17 | 2024-01-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2024-01-18 | 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 | 2023-11-17 | 2024-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-17 | 2024-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-17 | 2024-01-18 | 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 | 2023-11-17 | 2024-01-18 | 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 | 2023-11-17 | 2024-01-18 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-17 | 2024-01-18 | N |
| Have policies on smoking. | Health | 2023-11-17 | 2024-01-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-17 | 2024-01-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-17 | 2024-01-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-23 | 2023-06-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-29 | 2023-05-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-05-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-18 | 2023-02-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-18 | 2023-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-18 | 2023-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-09 | 2023-02-07 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-12-09 | 2023-01-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-09 | 2023-01-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-09 | 2023-01-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-09 | 2023-01-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-09 | 2023-01-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-12-09 | 2023-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-09 | 2023-01-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-09 | 2023-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-09 | 2023-01-18 | 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 | 2022-12-09 | 2023-01-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-09 | 2023-01-18 | 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 | 2022-12-09 | 2023-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-09-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-06-28 | 2022-09-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-08-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-06-28 | 2022-08-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-28 | 2022-03-01 | 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 | 2022-03-01 | 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 | 2022-01-28 | 2022-03-01 | 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 | 2022-01-28 | 2022-03-01 | 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 | 2022-01-28 | 2022-03-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-28 | 2022-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-01-28 | 2022-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-28 | 2022-03-01 | N |
| Use approved construction type or materials. | Fire Safety | 2022-01-12 | 2022-02-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-01-12 | 2022-02-22 | 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 | 2022-01-12 | 2022-02-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-01-12 | 2022-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-12 | 2022-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-12 | 2022-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-12 | 2022-02-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-30 | 2021-12-21 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-30 | 2021-12-21 | Y |
| 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 | 2021-11-03 | 2021-12-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-16 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | Not Fixed | Y |
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