Deficiency Records for Neffsville Nursing and Rehabilitation
Updated as of October 01, 2019
This is not the most recent data for Neffsville Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Neffsville Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-28 | 2019-03-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-28 | 2019-03-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-02-28 | 2019-03-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-19 | 2019-01-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-19 | 2019-01-23 | 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 | 2018-12-19 | 2019-01-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-19 | 2019-01-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-19 | 2019-01-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-19 | 2019-01-23 | Y |
| 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 | 2018-12-19 | 2019-01-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-12-19 | 2019-01-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-19 | 2019-01-23 | Y |
| Provide or obtain dental services for each resident. | Health | 2018-12-19 | 2019-01-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-19 | 2019-01-23 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-12-26 | 2019-01-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-04 | 2018-10-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-04 | 2018-10-22 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-09-04 | 2018-10-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-04 | 2018-10-22 | Y |
| Meet other general requirements. | Fire Safety | 2018-01-30 | 2018-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-30 | 2018-03-27 | 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 | 2018-01-30 | 2018-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-30 | 2018-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-30 | 2018-03-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-30 | 2018-03-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-01-30 | 2018-03-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-30 | 2018-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-23 | 2018-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-01-23 | 2018-03-07 | 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 | 2018-01-23 | 2018-03-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-01-23 | 2018-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-23 | 2018-03-07 | 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 | 2018-01-23 | 2018-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-23 | 2018-03-07 | N |
| Provide activities to meet all resident's needs. | Health | 2018-01-23 | 2018-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-23 | 2018-03-07 | 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 ne | Health | 2018-01-23 | 2018-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-23 | 2018-03-07 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-01-23 | 2018-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-23 | 2018-03-07 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-24 | 2017-08-07 | Y |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-02-22 | 2017-03-10 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-22 | 2017-03-10 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-22 | 2017-03-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-22 | 2017-03-10 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-21 | 2017-01-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-16 | 2017-01-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-12-16 | 2017-01-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-16 | 2017-01-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-16 | 2017-01-24 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-12-16 | 2017-01-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-16 | 2017-01-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-16 | 2017-01-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-16 | 2017-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-16 | 2017-01-24 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-10-18 | 2016-11-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-18 | 2016-11-01 | Y |
