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Deficiency Records for Horsham Center For Jewish Life
A list of the most recent deficiencies for Horsham Center For Jewish Life. 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 Horsham Center For Jewish Life. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-02 | 2024-05-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-21 | 2024-05-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-21 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-05-07 | N |
| Post nurse staffing information every day. | Health | 2024-03-21 | 2024-05-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-21 | 2024-05-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-21 | 2024-05-07 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-21 | 2024-05-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-05-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Meet other general requirements. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-12 | 2023-08-11 | 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 | 2023-06-12 | 2023-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-12 | 2023-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-07-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-07-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-25 | 2023-07-13 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-25 | 2023-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-07-13 | 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 | 2023-05-25 | 2023-07-13 | 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 | 2023-05-25 | 2023-07-13 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-05-25 | 2023-07-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-25 | 2023-07-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-25 | 2023-07-13 | 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 | 2023-05-25 | 2023-07-13 | 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 | 2023-05-25 | 2023-07-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-25 | 2023-07-13 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-05-25 | 2023-07-13 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-05-25 | 2023-07-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-05-25 | 2023-07-13 | 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 | 2023-05-25 | 2023-07-13 | N |
| Keep all essential equipment working safely. | Health | 2023-05-25 | 2023-07-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-06 | 2023-03-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-18 | 2022-11-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-27 | 2022-10-27 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-08-22 | 2022-09-27 | 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 | 2022-08-22 | 2022-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-22 | 2022-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-31 | 2022-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-09-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-23 | 2022-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-01 | 2022-08-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-01 | 2022-08-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-01 | 2022-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-01 | 2022-08-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-01 | 2022-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-01 | 2022-08-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-01 | 2022-08-23 | 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 | 2022-08-01 | 2022-08-23 | 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 | 2022-08-01 | 2022-08-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-08-01 | 2022-08-23 | N |
| Dispose of garbage and refuse properly. | Health | 2022-08-01 | 2022-08-23 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-01 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-01 | 2022-08-23 | 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 | 2022-08-01 | 2022-08-23 | Y |
| 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 | 2022-08-01 | 2022-08-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-01 | 2022-08-23 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-19 | 2022-08-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-19 | 2022-08-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-28 | 2022-07-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-28 | 2022-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-28 | 2022-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-07-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-06-29 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-14 | 2022-01-18 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-14 | 2022-01-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-08 | 2022-01-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2022-01-18 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-12-08 | 2022-01-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-12 | Not Fixed | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-12 | Not Fixed | Y |
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