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Deficiency Records for Aristacare at East Falls
A list of the most recent deficiencies for Aristacare at East Falls. 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 Aristacare at East Falls. 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 | 2024-10-16 | 2024-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-04 | 2024-11-12 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-10-04 | 2024-11-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-10-04 | 2024-11-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-10-04 | 2024-11-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-04 | 2024-11-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-04 | 2024-11-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-04 | 2024-11-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-04 | 2024-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-04 | 2024-11-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-10-04 | 2024-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-04 | 2024-11-12 | 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 | 2024-10-04 | 2024-11-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-10-04 | 2024-11-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-04 | 2024-11-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-10-04 | 2024-11-12 | N |
| Post nurse staffing information every day. | Health | 2024-10-04 | 2024-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-04 | 2024-11-12 | 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 | 2024-10-04 | 2024-11-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-04 | 2024-11-12 | 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 | 2024-10-04 | 2024-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-04 | 2024-11-12 | 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 | 2024-10-04 | 2024-11-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-10-04 | 2024-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-04 | 2024-11-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-04 | 2024-11-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-04 | 2024-11-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-10-04 | 2024-11-12 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-10-04 | 2024-11-12 | 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 | 2024-10-04 | 2024-11-12 | 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 | 2024-10-04 | 2024-11-12 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-10-17 | 2024-11-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-10-17 | 2024-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-17 | 2024-11-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-21 | 2024-09-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-21 | 2024-09-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-08 | 2024-08-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-08-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-08 | 2024-08-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-08 | 2024-08-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-21 | 2024-02-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-21 | 2024-02-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-02-19 | 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 | 2023-12-21 | 2024-02-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-21 | 2024-02-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-21 | 2023-10-07 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-24 | 2023-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-24 | 2023-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-04-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-24 | 2023-04-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-24 | 2023-04-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-24 | 2023-04-24 | 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 | 2023-04-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-24 | 2023-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-24 | 2023-04-24 | N |
| Keep all essential equipment working safely. | Health | 2023-02-24 | 2023-04-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-02 | 2023-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-04-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-14 | 2023-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-08-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-04-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-08 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-04-29 | 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 | 2022-04-08 | 2022-04-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-08 | 2022-04-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-25 | 2022-04-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-07 | Not Fixed | Y |
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