Deficiency Records for Squirrel Hill Wellness and Rehabilitation Center
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-03-14 | 2022-04-16 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-03-14 | 2022-04-16 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-03-14 | 2022-04-16 | 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 | 2022-03-14 | 2022-04-16 | 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 | 2022-03-14 | 2022-04-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-03-14 | 2022-04-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-14 | 2022-04-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-14 | 2022-04-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-14 | 2022-04-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-14 | 2022-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-14 | 2022-04-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-14 | 2022-04-06 | 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 | 2022-03-14 | 2022-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-14 | 2022-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-14 | 2022-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-14 | 2022-04-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-14 | 2022-04-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-03-14 | 2022-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-10-25 | 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 | 2021-09-23 | 2021-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-23 | 2021-10-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-23 | 2021-10-25 | 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 | 2021-09-23 | 2021-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-10-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-16 | 2021-08-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-16 | 2021-08-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-28 | 2021-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-28 | 2021-05-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-28 | 2021-05-22 | 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 | 2021-04-28 | 2021-05-22 | 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 | 2021-04-28 | 2021-05-22 | 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 | 2021-04-28 | 2021-05-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-28 | 2021-05-22 | 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 | 2021-04-28 | 2021-05-22 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-04-28 | 2021-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-05-22 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-28 | 2021-05-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-04-28 | 2021-05-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-12-18 | 2020-12-31 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-12-18 | 2020-12-31 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-12-14 | 2020-12-28 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-12-14 | 2020-12-28 | Y |
| 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 | 2020-10-01 | 2020-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-01 | 2020-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-08 | 2020-10-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-23 | 2020-08-27 | 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 | 2020-02-03 | 2020-02-17 | Y |
| 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 |
| 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 |
