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Deficiency Records for Penn Highlands Jefferson Manor
A list of the most recent deficiencies for Penn Highlands Jefferson Manor. 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 Penn Highlands Jefferson Manor. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-15 | 2024-09-29 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-08-15 | 2024-09-29 | 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 | 2024-04-10 | 2024-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-10 | 2024-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-05-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-10 | 2024-05-20 | Y |
| Meet other general requirements. | Fire Safety | 2024-01-23 | 2024-02-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-23 | 2024-02-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-23 | 2024-02-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-23 | 2024-02-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-23 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-23 | 2024-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-22 | 2024-02-09 | 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 | 2023-02-24 | 2023-03-31 | N |
| Meet other general requirements. | Fire Safety | 2023-02-23 | 2023-03-31 | 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 | 2023-02-23 | 2023-03-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-23 | 2023-03-31 | 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 | 2023-02-23 | 2023-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-31 | 2022-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-31 | 2022-05-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-31 | 2022-05-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-31 | 2022-05-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-03-31 | 2022-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-31 | 2022-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-18 | 2022-04-26 | 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 | 2024-03-08 | Not Fixed | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | Not Fixed | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-08 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-08 | Not Fixed | Y |
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