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Deficiency Records for Whitehall Borough Skilled Nursing and Rehab Center
A list of the most recent deficiencies for Whitehall Borough Skilled Nursing and Rehab 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 Whitehall Borough Skilled Nursing and Rehab 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-09-09 | 2024-10-08 | Y |
| 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 | 2024-09-09 | 2024-10-08 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-06-13 | 2024-07-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-13 | 2024-07-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-09 | 2024-06-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-09 | 2024-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-09 | 2024-06-18 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-05-09 | 2024-06-18 | 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 | 2024-05-09 | 2024-06-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-09 | 2024-06-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-09 | 2024-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-09 | 2024-06-18 | 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 | 2024-05-09 | 2024-06-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-06 | 2024-05-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-06 | 2024-05-28 | N |
| 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 | 2024-04-08 | 2024-05-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-19 | 2024-02-01 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-19 | 2024-02-01 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-05 | 2023-11-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-05 | 2023-06-12 | 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 | 2023-05-05 | 2023-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-06-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-05 | 2023-06-12 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-05 | 2023-06-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-10 | 2023-06-12 | 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 | 2022-06-17 | 2022-07-22 | 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 | 2022-06-17 | 2022-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-16 | 2022-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-29 | 2022-01-04 | Y |
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