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Deficiency Records for Williamsport South Rehabilitation and Nursing Cent
A list of the most recent deficiencies for Williamsport South 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 South 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 | 2024-08-06 | 2024-09-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-22 | 2024-07-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-22 | 2024-07-02 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-22 | 2024-07-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-02 | 2024-04-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-16 | 2024-04-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-16 | 2024-04-02 | 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 | 2024-02-16 | 2024-04-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-16 | 2024-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-16 | 2024-04-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-16 | 2024-04-02 | 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 | 2024-02-16 | 2024-04-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-16 | 2024-04-02 | N |
| Post nurse staffing information every day. | Health | 2024-02-16 | 2024-04-02 | 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 | 2024-02-16 | 2024-04-02 | 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 | 2024-02-16 | 2024-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-16 | 2024-04-02 | 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 | 2024-02-16 | 2024-04-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-26 | 2024-03-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-02-26 | 2024-03-27 | 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 | 2024-02-26 | 2024-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-26 | 2024-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-26 | 2024-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-26 | 2024-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-13 | 2023-11-09 | 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 | 2023-07-13 | 2023-08-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-01 | 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 | 2023-06-22 | 2023-07-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-22 | 2023-07-18 | Y |
| 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 | 2023-03-17 | 2023-05-25 | 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 | 2023-03-17 | 2023-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-17 | 2023-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-17 | 2023-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-05-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-17 | 2023-05-02 | 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 | 2023-03-17 | 2023-05-02 | N |
| 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 | 2023-03-17 | 2023-05-02 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-17 | 2023-05-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-07 | 2023-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-07 | 2023-04-14 | N |
| 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 | 2022-03-25 | 2022-05-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-25 | 2022-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-25 | 2022-05-06 | 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 | 2022-03-25 | 2022-05-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-25 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-25 | 2022-05-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-25 | 2022-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-07 | 2022-04-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-07 | 2022-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-07 | 2022-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-07 | 2022-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-08 | 2021-12-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-20 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | Not Fixed | Y |
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