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Deficiency Records for Williamsport North Rehabilitation and Nursing Cent
A list of the most recent deficiencies for Williamsport North Rehabilitation and Nursing Cent. 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 Williamsport North Rehabilitation and Nursing Cent. 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 | 2024-05-23 | 2024-07-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-23 | 2024-07-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-23 | 2024-07-09 | 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 | 2024-05-23 | 2024-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-07-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-23 | 2024-07-09 | 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 | 2024-05-23 | 2024-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-23 | 2024-07-09 | N |
| Post nurse staffing information every day. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-23 | 2024-07-09 | 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 | 2024-05-23 | 2024-07-09 | 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 | 2024-05-23 | 2024-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-07-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-23 | 2024-07-09 | 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 | 2024-05-30 | 2024-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-30 | 2024-07-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-30 | 2024-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-02 | 2024-03-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-02 | 2024-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-03-12 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-02-02 | 2024-03-12 | 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 | 2023-06-16 | 2023-08-29 | N |
| 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 | 2023-06-26 | 2023-08-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-16 | 2023-07-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-16 | 2023-07-25 | 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 | 2023-06-16 | 2023-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2022-12-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-22 | 2022-12-28 | 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 | 2022-07-18 | 2022-08-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-18 | 2022-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-18 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-05 | 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 | 2022-07-01 | 2022-08-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-01 | 2022-08-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-01 | 2022-08-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-01 | 2022-08-04 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-07-01 | 2022-08-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-01 | 2022-08-04 | 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 | 2022-07-01 | 2022-08-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-01 | 2022-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-01 | 2022-08-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-01 | 2022-08-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-01 | 2022-08-04 | 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 | 2022-07-01 | 2022-08-04 | 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 | 2023-08-01 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-01 | Not Fixed | Y |
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