Deficiency Records for Squirrel Hill Wellness and Rehabilitation Center
Updated as of July 01, 2020
This is not the most recent data for Squirrel Hill Wellness and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Squirrel Hill Wellness and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-12-18 | 2020-02-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-18 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-18 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-02-24 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-12-18 | 2020-02-24 | 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 | 2020-02-03 | 2020-02-17 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-12-23 | 2020-02-12 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-12-23 | 2020-02-12 | 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 | 2019-12-23 | 2020-02-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-23 | 2020-02-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-23 | 2020-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-23 | 2020-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-23 | 2020-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-23 | 2020-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-23 | 2020-02-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-23 | 2020-02-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-12-23 | 2020-02-12 | 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 | 2019-12-23 | 2020-02-12 | 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 | 2019-12-23 | 2020-02-12 | N |
| Dispose of garbage and refuse properly. | Health | 2019-12-23 | 2020-02-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-12-23 | 2020-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-23 | 2020-02-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-23 | 2020-02-12 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-12-23 | 2020-02-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-23 | 2020-02-12 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-23 | 2020-02-12 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-12-23 | 2020-02-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-23 | 2020-02-12 | Y |
| 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 | 2019-12-23 | 2020-02-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-18 | 2020-01-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-09 | 2019-12-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-09 | 2019-12-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-09 | 2019-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-08 | 2019-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-08 | 2019-11-27 | Y |
| 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 | 2019-11-08 | 2019-11-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-29 | 2019-11-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-29 | 2019-11-15 | Y |
| 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 | 2019-09-11 | 2019-09-23 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-08-29 | 2019-09-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-15 | 2019-08-01 | Y |
| 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 | 2019-07-15 | 2019-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-15 | 2019-08-01 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-13 | 2019-01-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-09 | 2018-12-24 | N |
| 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 | 2018-11-09 | 2018-12-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-09 | 2018-12-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-09 | 2018-12-24 | 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 | 2018-11-09 | 2018-12-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-09 | 2018-12-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-09 | 2018-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-12-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-09 | 2018-12-24 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2018-11-09 | 2018-12-24 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-13 | 2018-12-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-13 | 2018-12-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2017-12-11 | 2018-01-24 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-12-11 | 2018-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-11 | 2018-01-24 | 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 | 2017-12-11 | 2018-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-11 | 2018-01-24 | N |
| Keep all essential equipment working safely. | Health | 2017-12-11 | 2018-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-13 | 2018-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-13 | 2018-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-13 | 2018-01-19 | N |
