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Deficiency Records for The Williamsport Home
A list of the most recent deficiencies for The Williamsport Home. 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 The Williamsport Home. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-08 | 2024-06-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-08 | 2024-06-03 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-29 | 2024-04-29 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-02-02 | 2024-03-25 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-02-02 | 2024-03-25 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-02 | 2024-03-25 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-02 | 2024-03-25 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-02 | 2024-03-25 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-02 | 2024-03-25 | 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 | 2024-02-02 | 2024-03-25 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-02 | 2024-03-25 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-13 | 2024-03-08 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-13 | 2024-03-08 | 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 | 2024-02-13 | 2024-03-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-13 | 2024-03-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-13 | 2024-03-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-13 | 2024-03-08 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-13 | 2024-03-08 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-28 | 2023-04-17 | N |
Meet other general requirements. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
Use approved construction type or materials. | Fire Safety | 2023-02-28 | 2023-04-17 | 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 | 2023-02-28 | 2023-04-17 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-24 | 2023-04-03 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-24 | 2023-04-03 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-04-03 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-24 | 2023-04-03 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-24 | 2023-04-03 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-24 | 2023-04-03 | N |
Perform COVID19 testing on residents and staff. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | 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 | 2022-06-29 | 2022-08-01 | Y |
Use approved construction type or materials. | Fire Safety | 2022-03-15 | 2022-05-09 | 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 | 2022-03-15 | 2022-05-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
Assess the resident when there is a significant change in condition | Health | 2022-03-04 | 2022-04-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-04-25 | 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 | 2022-03-04 | 2022-04-25 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-04 | 2022-04-25 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-04 | 2022-04-25 | N |
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