Deficiency Records for Susquehanna Nursing and Rehabilitation Center, L L C
Updated as of April 01, 2024
A list of the most recent deficiencies for Susquehanna Nursing and Rehabilitation Center, L L C. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-02 | 2022-09-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-02 | 2022-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-02 | 2022-09-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-02 | 2022-09-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-02 | 2022-09-28 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-08-02 | 2022-09-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-02 | 2022-09-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-09-28 | 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 | 2022-08-02 | 2022-08-30 | Y |
| 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 | 2021-05-05 | 2021-06-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-12-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-07 | 2019-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-07 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-11-07 | 2019-12-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-07 | 2019-12-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-07 | 2019-11-30 | 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 | 2019-11-07 | 2019-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-07 | 2019-11-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-11-07 | 2019-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-12 | 2018-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-12 | 2018-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-12 | 2018-08-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-11 | 2018-08-20 | 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 | 2018-07-12 | 2018-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-11 | 2018-08-08 | N |
