Deficiency Records for The Gardens at Scranton

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Gardens at Scranton. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-04 2024-02-14 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-01-04 2024-02-14 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-01-04 2024-02-14 Y
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 2024-01-04 2024-02-14 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-04 2024-02-14 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-01-04 2024-02-14 Y
Keep all essential equipment working safely. Health 2024-01-04 2024-02-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-20 2024-02-14 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-10-20 2024-02-14 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-10-20 2024-02-14 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 2023-10-20 2024-02-14 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-20 2024-02-14 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-10-20 2024-01-04 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-10-20 2024-01-04 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-20 2024-01-04 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 2023-10-20 2024-01-04 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-10-20 2024-01-04 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 2023-10-20 2024-01-04 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 2023-10-20 2024-01-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-20 2024-01-04 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-10-20 2024-01-04 N
Implement a program that monitors antibiotic use. Health 2023-10-20 2024-01-04 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-10-20 2024-01-04 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 2023-10-20 2024-01-04 Y
Respond appropriately to all alleged violations. Health 2023-10-20 2024-01-04 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-10-20 2024-01-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-20 2024-01-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-20 2024-01-04 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-10-20 2024-01-04 Y
Use approved construction type or materials. Fire Safety 2023-11-01 2023-12-19 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-11-01 2023-12-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-01 2023-12-19 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-11-01 2023-12-19 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 2023-11-01 2023-12-19 N
Provide properly protected cooking facilities. Fire Safety 2023-11-01 2023-12-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-01 2023-12-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-01 2023-12-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-01 2023-12-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-01 2023-12-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-01 2023-12-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-01 2023-12-19 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 2022-11-10 2023-01-27 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-11-10 2023-01-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-10 2023-01-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-10 2023-01-27 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-11-10 2023-01-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-11-10 2023-01-04 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-11-10 2023-01-04 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-11-10 2023-01-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-10 2023-01-04 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-11-10 2023-01-04 N
Ensure that residents are free from significant medication errors. Health 2022-11-10 2023-01-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-11-10 2023-01-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-10 2023-01-04 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 2022-11-28 2022-12-27 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-11-28 2022-12-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-28 2022-12-27 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-28 2022-12-27 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-11-28 2022-12-27 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-11-28 2022-12-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-07 2022-05-06 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-01-07 2022-05-06 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-07 2022-05-06 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-07 2022-04-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-07 2022-04-06 N
Respond appropriately to all alleged violations. Health 2022-01-07 2022-04-06 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 2022-01-07 2022-04-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-07 2022-04-06 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 2022-01-07 2022-03-10 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 2022-01-07 2022-03-10 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-01-07 2022-03-10 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-01-07 2022-03-10 N
Assess the resident when there is a significant change in condition Health 2022-01-07 2022-03-10 N
Ensure each resident receives an accurate assessment. Health 2022-01-07 2022-03-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-07 2022-03-10 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 2022-01-07 2022-03-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-01-07 2022-03-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-01-07 2022-03-10 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 2022-01-07 2022-03-10 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 2022-01-07 2022-03-10 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-01-07 2022-03-10 N
Implement a program that monitors antibiotic use. Health 2022-01-07 2022-03-10 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-01-07 2022-03-10 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-01-07 2022-03-10 N
Use approved construction type or materials. Fire Safety 2022-01-11 2022-02-02 N
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 2022-01-11 2022-02-02 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-01-11 2022-02-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-01-11 2022-02-02 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2021-09-29 2021-12-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-09-29 2021-12-21 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 2021-09-29 2021-11-10 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-09-29 2021-11-10 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2021-09-29 2021-11-10 Y
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2021-09-29 2021-11-10 Y
Provide and implement an infection prevention and control program. Health 2021-09-29 2021-11-10 Y
Provide and implement an infection prevention and control program. Health 2021-08-25 2021-11-10 Y
Perform COVID19 testing on residents and staff. Health 2021-08-25 2021-09-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-30 2021-09-29 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 2021-04-13 2021-05-17 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-01-04 Not Fixed Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-09 Not Fixed Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-10-20 Not Fixed Y