Deficiency Records for The Gardens at Camp Hill
Updated as of April 01, 2023
This is not the most recent data for The Gardens at Camp Hill. For the most recent information, click here.
A list of the most recent deficiencies for The Gardens at Camp Hill. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-26 | 2022-11-17 | 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 | 2022-09-26 | 2022-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-09-26 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-26 | 2022-11-17 | 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 | 2022-09-15 | 2022-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-15 | 2022-10-18 | 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 | 2022-09-15 | 2022-10-18 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-15 | 2022-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-18 | 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 | 2022-09-15 | 2022-10-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-15 | 2022-10-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-15 | 2022-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-10-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-16 | 2022-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | 2021-10-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-10 | 2021-10-29 | 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 | 2021-09-10 | 2021-10-02 | 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 | 2021-09-10 | 2021-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-10 | 2021-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-10 | 2021-10-02 | 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 | 2021-09-10 | 2021-10-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-10 | 2021-10-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-10 | 2021-10-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-10 | 2021-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-30 | 2021-07-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-01-07 | 2021-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-04 | 2020-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-09 | 2020-10-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-04-14 | 2020-05-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-06 | 2020-03-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-06 | 2020-03-25 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-06 | 2020-03-25 | 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 | 2020-02-06 | 2020-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-06 | 2020-03-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-06 | 2020-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-06 | 2020-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-25 | 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 | 2020-02-06 | 2020-03-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-06 | 2020-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-06 | 2020-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-06 | 2020-03-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-06 | 2020-03-25 | 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 | 2020-02-06 | 2020-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-06 | 2020-03-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-06 | 2020-03-25 | 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 | 2020-02-06 | 2020-03-25 | 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 | 2020-02-06 | 2020-03-25 | 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 | 2020-02-06 | 2020-03-25 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-06 | 2020-03-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-06 | 2020-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-06 | 2020-03-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-02-06 | 2020-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-25 | N |
