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Deficiency Records for Loyalhanna Care Center
A list of the most recent deficiencies for Loyalhanna Care Center. 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 Loyalhanna Care Center. 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 | 2024-07-25 | 2024-08-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-25 | 2024-08-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-22 | 2024-07-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-22 | 2024-07-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-22 | 2024-07-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-22 | 2024-07-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-03 | 2024-05-16 | 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 | 2024-04-03 | 2024-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-03 | 2024-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-11 | 2024-05-15 | 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 | 2024-04-11 | 2024-05-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-21 | 2024-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-04-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-03-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-26 | 2024-03-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-03-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-14 | 2023-08-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-14 | 2023-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-14 | 2023-08-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-14 | 2023-08-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-03 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-03 | 2023-08-18 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-09 | 2023-06-21 | 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 | 2023-05-09 | 2023-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-03 | 2023-06-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-03 | 2023-06-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-03 | 2023-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-03 | 2023-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-03 | 2023-06-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-30 | 2023-05-03 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-03-30 | 2023-05-03 | Y |
| 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 | 2023-05-03 | 2023-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-03 | 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 | 2022-06-21 | 2022-08-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-21 | 2022-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-21 | 2022-08-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-16 | 2022-07-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-16 | 2022-07-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-16 | 2022-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-16 | 2022-07-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-16 | 2022-07-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-16 | 2022-07-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-16 | 2022-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-08 | 2022-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-08 | 2022-03-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-08 | 2022-03-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-12-28 | 2022-02-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-28 | 2022-02-02 | Y |
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