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Deficiency Records for Pennknoll Village
A list of the most recent deficiencies for Pennknoll Village. 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 Pennknoll Village. 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 registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-17 | 2024-08-03 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-16 | 2024-06-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-23 | 2024-03-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-23 | 2024-03-28 | N |
| 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 | 2024-02-23 | 2024-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-03-28 | 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 | 2024-02-23 | 2024-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-23 | 2024-03-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-23 | 2024-03-28 | 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 | 2024-02-23 | 2024-03-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-23 | 2024-03-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-23 | 2024-03-28 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-02-23 | 2024-03-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-23 | 2024-03-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-23 | 2024-03-28 | 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 | 2024-02-23 | 2024-03-28 | N |
| Provide or obtain dental services for each resident. | Health | 2024-02-23 | 2024-03-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-23 | 2024-03-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-23 | 2024-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-21 | 2024-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-21 | 2024-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-21 | 2024-03-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-21 | 2024-03-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-21 | 2024-03-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-28 | 2024-01-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-28 | 2024-01-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-15 | 2023-12-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-12-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-13 | 2023-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-02 | 2023-09-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-02 | 2023-09-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-30 | 2023-05-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-30 | 2023-05-04 | 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 | 2023-03-30 | 2023-05-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-05-04 | 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 | 2023-03-30 | 2023-05-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-30 | 2023-05-04 | 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 | 2023-03-30 | 2023-05-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-30 | 2023-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-03-30 | 2023-05-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-28 | 2023-05-04 | 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 | 2023-03-28 | 2023-05-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-28 | 2023-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-20 | 2023-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-10 | 2023-03-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-18 | 2022-08-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-30 | 2022-06-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-30 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-30 | 2022-06-01 | 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 | 2022-04-30 | 2022-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-30 | 2022-06-01 | N |
| Provide appropriate foot care. | Health | 2022-04-30 | 2022-06-01 | 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 | 2022-04-30 | 2022-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-30 | 2022-06-01 | 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 | 2022-04-30 | 2022-06-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-30 | 2022-06-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-04-30 | 2022-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-30 | 2022-06-01 | 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 | 2022-04-30 | 2022-06-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-30 | 2022-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-30 | 2022-06-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-30 | 2022-06-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-30 | 2022-06-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-30 | 2022-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-30 | 2022-06-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-15 | 2022-04-20 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-12 | 2021-12-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-12 | 2021-12-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-12 | 2021-12-15 | Y |
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