Deficiency Records for Nathan Littauer Hospital Nursing Home
Updated as of March 01, 2024
A list of the most recent deficiencies for Nathan Littauer Hospital Nursing 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-06 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-06 | 2022-07-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-06 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-07-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-06 | 2022-07-01 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-06 | 2022-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-06 | 2022-07-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-06 | 2022-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-22 | 2021-12-06 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-10 | 2020-02-01 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-12-10 | 2020-01-30 | 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 | 2019-12-10 | 2020-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-10 | 2020-01-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-12-10 | 2020-01-23 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-12-10 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-10 | 2020-01-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-10 | 2020-01-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-10 | 2020-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-10 | 2020-01-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-21 | 2018-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-21 | 2018-10-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-21 | 2018-10-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-08-21 | 2018-10-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-21 | 2018-10-18 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2018-08-21 | 2018-10-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-21 | 2018-10-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-21 | 2018-10-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-21 | 2018-10-16 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-08-21 | 2018-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-21 | 2018-10-16 | 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 | 2018-08-21 | 2018-10-16 | 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 | 2018-08-21 | 2018-10-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-21 | 2018-10-16 | 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 | 2018-08-21 | 2018-10-16 | N |
| Dispose of garbage and refuse properly. | Health | 2018-08-21 | 2018-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-21 | 2018-10-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-21 | 2018-10-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-21 | 2018-10-16 | N |
