Deficiency Records for Williamsport Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Williamsport Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-04-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-24 | 2023-04-21 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-24 | 2023-04-21 | 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 | 2023-03-24 | 2023-04-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-21 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-10 | 2023-04-21 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-10 | 2023-04-21 | N |
Meet other general requirements. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-14 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-18 | 2019-12-18 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-11-18 | 2019-12-18 | 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 | 2019-11-18 | 2019-12-18 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-18 | 2019-12-18 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-18 | 2019-12-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-18 | 2019-12-18 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-18 | 2019-12-18 | 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 | 2019-11-18 | 2019-12-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-18 | 2019-12-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-26 | 2018-10-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-26 | 2018-10-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-26 | 2018-10-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-09-10 | 2018-10-05 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-10 | 2018-10-05 | 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 | 2018-09-10 | 2018-10-05 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-10 | 2018-10-05 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-10 | 2018-10-05 | N |