A list of the most recent deficiencies for Lansdowne Village. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-07 | 2023-10-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-07 | 2023-10-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-07 | 2023-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-26 | 2023-09-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-26 | 2023-09-06 | Y |
| 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 | 2023-07-26 | 2023-09-06 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-16 | 2023-03-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-16 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-14 | 2023-01-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-11 | 2022-08-08 | 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 | 2022-04-11 | 2022-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-11 | 2022-07-21 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-11 | 2022-05-18 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-04-11 | 2022-05-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-04-11 | 2022-05-18 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-04-11 | 2022-05-18 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2022-04-11 | 2022-05-18 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-11 | 2022-05-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-04-11 | 2022-05-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-11 | 2022-05-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-11 | 2022-05-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-11 | 2022-05-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-11 | 2022-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-11 | 2022-05-18 | 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 | 2022-04-11 | 2022-05-18 | N |
| Post nurse staffing information every day. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-11 | 2022-05-18 | 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 | 2022-04-11 | 2022-05-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-04-11 | 2022-05-18 | 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 | 2022-04-11 | 2022-05-18 | 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 | 2022-04-11 | 2022-05-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-11 | 2022-05-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-11 | 2022-05-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-11 | 2022-05-18 | Y |
| 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 | 2022-04-11 | 2022-05-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-11 | 2022-05-18 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-11 | 2022-05-18 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-11 | 2022-05-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-11 | 2022-05-18 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-04-11 | 2022-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-05-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-11 | 2022-05-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-11 | 2022-05-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-11 | 2022-05-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-11 | 2022-05-18 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-04-11 | 2022-05-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-11 | 2022-05-18 | 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 | 2022-04-11 | 2022-05-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-11 | 2022-05-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-28 | 2019-12-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-28 | 2019-12-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-28 | 2019-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-28 | 2019-12-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-28 | 2019-12-11 | 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 | 2019-10-28 | 2019-12-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-28 | 2019-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-28 | 2019-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-28 | 2019-12-11 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-08-14 | 2018-09-28 | 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 | 2018-08-14 | 2018-09-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-14 | 2018-09-28 | 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 | 2018-08-14 | 2018-09-28 | 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 | 2018-08-14 | 2018-09-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-14 | 2018-09-28 | 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 | 2018-08-14 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-14 | 2018-09-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-09-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-14 | 2018-09-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-14 | 2018-09-28 | N |
