Deficiency Records for Jefferson Hills Healthcare and Rehabilitation Cent
Updated as of March 01, 2024
A list of the most recent deficiencies for Jefferson Hills Healthcare and Rehabilitation Cent. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-03 | 2024-01-22 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-01-03 | 2024-01-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-24 | 2023-11-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-24 | 2023-11-21 | 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 | 2023-10-24 | 2023-11-21 | 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 | 2023-08-08 | 2023-09-12 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-19 | 2023-06-13 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-04-14 | 2023-06-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-14 | 2023-06-06 | 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 | 2023-04-14 | 2023-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-14 | 2023-06-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-14 | 2023-06-06 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-14 | 2023-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-06-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-14 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-06-06 | 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 | 2023-04-14 | 2023-06-06 | 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 | 2023-03-10 | 2023-04-04 | Y |
| 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 | 2023-01-18 | 2023-03-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-18 | 2023-03-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-18 | 2023-03-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-18 | 2023-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-18 | 2023-03-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-18 | 2023-03-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-08 | 2022-09-06 | Y |
| 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 | 2022-08-08 | 2022-09-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-21 | 2022-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-21 | 2022-06-07 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-04-25 | 2022-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-25 | 2022-06-07 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-25 | 2022-06-07 | 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 | 2022-04-25 | 2022-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-25 | 2022-06-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-25 | 2022-06-07 | 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 | 2022-01-14 | 2022-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-15 | Y |
| Keep all essential equipment working safely. | Health | 2022-01-14 | 2022-02-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-29 | 2020-12-17 | 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 | 2020-11-09 | 2020-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-11-09 | 2020-12-17 | N |
