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Deficiency Records for Hollidaysburg Veterans Home

A list of the most recent deficiencies for Hollidaysburg Veterans 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 Hollidaysburg Veterans 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-18 2024-09-04 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-18 2024-09-04 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-18 2024-09-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-18 2024-09-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-18 2024-09-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-18 2024-09-04 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2024-07-18 2024-09-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-18 2024-09-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-18 2024-09-04 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 2024-07-18 2024-09-04 N
Provide and implement an infection prevention and control program. Health 2024-07-18 2024-09-04 N
Keep all essential equipment working safely. Health 2024-07-18 2024-09-04 N
Implement emergency and standby power systems. Fire Safety 2024-07-17 2024-08-26 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-07-17 2024-08-26 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 2024-07-17 2024-08-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-17 2024-08-26 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-07-17 2024-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-17 2024-08-26 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-07-17 2024-08-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-17 2024-08-26 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-08-24 2023-10-10 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-08-24 2023-10-10 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-24 2023-10-10 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 2023-08-24 2023-10-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-24 2023-10-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-24 2023-10-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-24 2023-10-10 N
Provide enough food/fluids to maintain a resident's health. Health 2023-08-24 2023-10-10 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-08-24 2023-10-10 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 2023-08-24 2023-10-10 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-08-24 2023-10-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-24 2023-10-10 N
Meet other general requirements. Fire Safety 2023-07-19 2023-08-28 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-07-19 2023-08-28 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-07-19 2023-08-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-19 2023-08-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-07-19 2023-08-28 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-07-19 2023-08-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-07-19 2023-08-28 N
Have proper medical gas storage and administration areas. Fire Safety 2023-07-19 2023-08-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-04-24 2023-06-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-24 2023-06-06 Y
Have an enclosure around a vertical opening shaft. Fire Safety 2022-08-31 2022-10-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-08-31 2022-10-19 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-08-25 2022-10-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-25 2022-10-11 N
Assist a resident in gaining access to vision and hearing services. Health 2022-08-25 2022-10-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-25 2022-10-11 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 2022-08-25 2022-10-11 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 2022-08-25 2022-10-11 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 2022-08-25 2022-10-11 N
Ensure that residents are free from significant medication errors. Health 2022-08-25 2022-10-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-25 2022-10-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-08-25 2022-10-11 N
Provide and implement an infection prevention and control program. Health 2022-08-25 2022-10-11 N
Establish emergency prep training and testing. Fire Safety 2022-08-31 2022-10-11 N
Establish staff and initial training requirements. Fire Safety 2022-08-31 2022-10-11 N
Conduct testing and exercise requirements. Fire Safety 2022-08-31 2022-10-11 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 2022-08-31 2022-10-11 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 2022-08-31 2022-10-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-31 2022-10-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-08-31 2022-10-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-08-31 2022-10-11 N
Have power receptacles that are properly grounded. Fire Safety 2022-08-31 2022-10-11 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-08-31 2022-10-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-08-31 2022-10-11 N

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