Deficiency Records for The Gardens at Scranton
Updated as of May 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| 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 | 2021-02-26 | 2021-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-26 | 2021-05-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-02-26 | 2021-05-17 | 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 | 2021-02-26 | 2021-05-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-02-26 | 2021-04-13 | 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 | 2021-02-26 | 2021-04-13 | 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 | 2021-02-26 | 2021-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-26 | 2021-04-13 | N |
| Provide activities to meet all resident's needs. | Health | 2021-02-26 | 2021-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-26 | 2021-04-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-02-26 | 2021-04-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-26 | 2021-04-13 | 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 | 2021-02-26 | 2021-04-13 | 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 | 2021-02-26 | 2021-04-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-26 | 2021-04-13 | 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 | 2021-02-26 | 2021-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-26 | 2021-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-04-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-02-26 | 2021-04-13 | N |
| Use approved construction type or materials. | Fire Safety | 2021-02-16 | 2021-03-08 | 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 | 2021-02-16 | 2021-03-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-06-18 | 2020-07-24 | Y |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | Not Fixed | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-01-07 | Not Fixed | 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 | Not Fixed | N |
