Deficiency Records for The Gardens at Scranton
Updated as of May 01, 2020
This is not the most recent data for The Gardens at Scranton. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-06 | 2019-12-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-06 | 2019-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-06 | 2019-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-06 | 2019-12-16 | 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 | 2019-11-06 | 2019-12-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-06 | 2019-12-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-06 | 2019-12-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-06 | 2019-12-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-06 | 2019-12-16 | 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 | 2019-11-06 | 2019-12-16 | 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 | 2019-11-06 | 2019-12-16 | 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 | 2019-11-06 | 2019-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-12-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-06 | 2019-12-16 | 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 | 2019-11-05 | 2019-12-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Be properly staffed | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-18 | 2019-08-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-08-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-23 | 2019-07-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-23 | 2019-07-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-23 | 2019-07-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-15 | 2019-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-15 | 2019-07-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-15 | 2019-05-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-15 | 2019-05-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-15 | 2019-05-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-15 | 2019-05-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-15 | 2019-05-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-06 | 2019-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-06 | 2019-03-15 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-01-12 | 2019-03-15 | Y |
| 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 | 2019-01-12 | 2019-03-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-23 | 2018-12-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-19 | 2018-11-28 | 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 | 2018-10-19 | 2018-11-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-19 | 2018-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-19 | 2018-11-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-10-19 | 2018-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-19 | 2018-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2018-11-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-19 | 2018-11-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-10-19 | 2018-11-28 | 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 | 2018-08-26 | 2018-10-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-26 | 2018-10-12 | 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 | 2018-07-24 | 2018-10-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-24 | 2018-10-12 | 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 | 2018-06-14 | 2018-10-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-14 | 2018-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-14 | 2018-07-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-05-16 | 2018-07-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-05-16 | 2018-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-04 | 2018-03-26 | 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 | 2018-03-04 | 2018-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-03-04 | 2018-03-26 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-11-02 | 2018-01-17 | 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 | 2017-11-02 | 2018-01-17 | 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 | 2017-11-02 | 2018-01-17 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-11-02 | 2018-01-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-02 | 2018-01-17 | 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 | 2017-11-02 | 2018-01-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2018-01-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-02 | 2018-01-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-02 | 2018-01-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-02 | 2018-01-17 | 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 | 2017-11-02 | 2018-01-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-11-02 | 2018-01-17 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-11-02 | 2018-01-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-02 | 2018-01-17 | Y |
| Hire sufficient dietary support personnel. | Health | 2017-11-02 | 2018-01-17 | Y |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-11-02 | 2018-01-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-02 | 2018-01-17 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-11-08 | 2017-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-11-08 | 2017-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-08 | 2017-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-08 | 2017-12-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-12 | 2017-11-02 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-12 | 2017-11-02 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-12 | 2017-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-31 | 2017-11-02 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-31 | 2017-11-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-08-31 | 2017-10-12 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-07-19 | 2017-08-31 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-07-19 | 2017-08-31 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-10-12 | Not Fixed | Y |
| Provide housekeeping and maintenance services. | Health | 2017-10-12 | Not Fixed | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-31 | Not Fixed | Y |
