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Deficiency Records for Embassy of Tunkhannock

A list of the most recent deficiencies for Embassy of Tunkhannock. 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 Embassy of Tunkhannock. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-21 2024-09-05 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-05-21 2024-08-12 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-05-21 2024-08-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-21 2024-08-12 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 2024-05-21 2024-08-12 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-05-21 2024-08-12 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 2024-05-21 2024-08-12 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2024-05-21 2024-08-12 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-05-21 2024-08-12 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-05-21 2024-08-12 N
Keep all essential equipment working safely. Health 2024-05-21 2024-08-12 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 2024-05-21 2024-08-12 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-05-21 2024-08-12 Y
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 2024-05-21 2024-08-12 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-21 2024-08-12 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-05-29 2024-06-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-29 2024-06-13 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-01-22 2024-03-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-22 2024-03-04 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-25 2023-06-23 N
Have exits that are accessible at all times. Fire Safety 2023-04-25 2023-06-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-04-25 2023-06-10 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-03-29 2023-06-05 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-04-21 2023-06-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-21 2023-06-05 N
Respond appropriately to all alleged violations. Health 2023-04-21 2023-06-05 N
Ensure each resident receives an accurate assessment. Health 2023-04-21 2023-06-05 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-21 2023-06-05 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-04-21 2023-06-05 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-04-21 2023-06-05 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 2023-04-21 2023-06-05 N
Provide or obtain dental services for each resident. Health 2023-04-21 2023-06-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-21 2023-06-05 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-04-21 2023-06-05 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-04-21 2023-06-05 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 2023-04-21 2023-06-05 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-04-21 2023-06-05 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-01-24 2023-03-02 Y
Report COVID19 data to residents and families. Health 2023-01-24 2023-03-02 Y
Perform COVID19 testing on residents and staff. Health 2023-01-24 2023-03-02 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-08-03 2022-08-30 Y
Have properly located and lighted "Exit" signs. Fire Safety 2022-05-25 2022-06-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-05-25 2022-06-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-25 2022-06-24 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-05-13 2022-06-16 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-05-13 2022-06-16 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-05-13 2022-06-16 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-13 2022-06-16 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 2022-05-13 2022-06-16 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-05-13 2022-06-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-13 2022-06-16 N

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