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Deficiency Records for Embassy of Wyoming Valley
A list of the most recent deficiencies for Embassy of Wyoming Valley. 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 Wyoming Valley. 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 | 2024-06-27 | 2024-08-14 | 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 | 2024-04-26 | 2024-08-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-26 | 2024-06-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-26 | 2024-06-27 | 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 | 2024-04-26 | 2024-06-27 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-04-26 | 2024-06-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-26 | 2024-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-26 | 2024-06-27 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-03 | 2024-05-21 | 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 | 2024-04-03 | 2024-05-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-03 | 2024-05-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-23 | 2023-07-12 | 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 | 2023-05-23 | 2023-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-23 | 2023-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-23 | 2023-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-23 | 2023-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-23 | 2023-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-23 | 2023-07-12 | N |
| 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 | 2023-05-23 | 2023-07-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-23 | 2023-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-07-12 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-05-23 | 2023-07-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-17 | 2023-07-05 | 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 | 2023-05-17 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-28 | 2023-02-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-17 | 2022-08-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-17 | 2022-08-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-17 | 2022-08-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-17 | 2022-08-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-17 | 2022-08-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-17 | 2022-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-17 | 2022-08-04 | 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 | 2022-06-17 | 2022-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-17 | 2022-08-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-17 | 2022-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-08-04 | Y |
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