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Deficiency Records for Lancaster Health Services
A list of the most recent deficiencies for Lancaster Health Services. 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 Lancaster Health Services. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-27 | 2024-09-27 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-24 | 2024-08-23 | N |
Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-08-23 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-24 | 2024-07-24 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-24 | 2024-05-03 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-02 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-02 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-06 | 2023-05-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-03 | 2023-04-17 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2023-04-06 | 2023-04-06 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-17 | 2022-09-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-17 | 2022-09-09 | Y |
Respond appropriately to all alleged violations. | Health | 2022-08-17 | 2022-09-09 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-12 | 2022-08-31 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-12 | 2022-05-19 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-13 | 2022-02-05 | 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 | 2022-01-13 | 2022-02-05 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-13 | 2022-02-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-05 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-05 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-01-13 | 2022-02-05 | Y |
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