CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Jefferson Health Care
View the most recent health deficiencies and inspection results for Jefferson Health Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Jefferson Health Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide a written emergency evacuation plan. | Fire Safety | 2026-01-29 | 2026-03-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-04 | 2025-05-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-04-04 | 2025-05-17 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-04-04 | 2025-05-17 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-04-04 | 2025-05-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-04 | 2025-05-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-04-04 | 2025-05-17 | 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 | 2025-04-04 | 2025-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-04 | 2025-05-17 | 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 | 2025-04-04 | 2025-05-17 | 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 | 2025-04-04 | 2025-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-04 | 2025-05-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-04 | 2025-05-17 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-04 | 2025-05-17 | 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 | 2025-04-04 | 2025-05-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-04 | 2025-05-17 | 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 | 2025-04-04 | 2025-05-17 | 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 (including nights and weekends) and emergencies. | Health | 2025-04-04 | 2025-05-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-04-04 | 2025-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-04 | 2025-05-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-04 | 2025-05-17 | 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 | 2025-04-04 | 2025-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-04 | 2025-05-17 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-04 | 2025-05-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-04-04 | 2025-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-04 | 2025-05-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-04 | 2025-05-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-11 | 2024-04-08 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-09-22 | 2023-11-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-22 | 2023-11-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-22 | 2023-11-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-22 | 2023-11-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-22 | 2023-11-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-09-22 | 2023-11-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-22 | 2023-11-06 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-09-22 | 2023-11-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-22 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-22 | 2023-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-22 | 2023-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-22 | 2023-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-11-06 | N |
| Post nurse staffing information every day. | Health | 2023-09-22 | 2023-11-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-11-06 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-09-22 | 2023-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-11-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-22 | 2023-11-06 | 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 | 2023-09-22 | 2023-11-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-22 | 2023-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-22 | 2023-11-06 | 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 | 2023-09-22 | 2023-11-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-22 | 2023-11-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-06 | 2023-06-05 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-18 | 2022-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-18 | 2022-11-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-18 | 2022-11-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-18 | 2022-11-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-18 | 2022-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-11-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-18 | 2022-11-25 | 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 | 2022-10-18 | 2022-11-25 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-10-18 | 2022-11-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-18 | 2022-11-25 | 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 | 2022-10-18 | 2022-11-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-18 | 2022-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-18 | 2022-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-18 | 2022-11-25 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-18 | 2022-11-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-18 | 2022-11-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-18 | 2022-11-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-18 | 2022-11-25 | 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 | 2022-10-18 | 2022-11-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-18 | 2022-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-18 | Not Fixed | Y |