Deficiency Records for Harborview Rehabilitation Care Center at Doylestow
Updated as of April 01, 2024
A list of the most recent deficiencies for Harborview Rehabilitation Care Center at Doylestow. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-26 | 2024-01-02 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-23 | 2023-11-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-04 | 2023-11-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-04 | 2023-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-04 | 2023-11-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-04 | 2023-11-16 | N |
| Post nurse staffing information every day. | Health | 2023-10-04 | 2023-11-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-04 | 2023-11-16 | 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 | 2023-10-04 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-11-16 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-04 | 2023-11-16 | N |
| Keep all essential equipment working safely. | Health | 2023-10-04 | 2023-11-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-04 | 2023-11-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-27 | 2023-05-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-27 | 2023-05-30 | 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 | 2023-04-18 | 2023-05-30 | Y |
| 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 | 2023-04-12 | 2023-05-30 | Y |
| Post nurse staffing information every day. | Health | 2023-04-12 | 2023-05-30 | 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 | 2023-01-09 | 2023-02-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-28 | 2023-02-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-28 | 2023-02-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-28 | 2023-02-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-28 | 2022-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | 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 |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-28 | 2022-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-28 | 2022-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-12-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-03 | 2022-12-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-03 | 2022-12-01 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-03 | 2022-12-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-03 | 2022-12-01 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-13 | 2022-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-10 | 2022-01-05 | 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 | 2021-12-10 | 2022-01-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-12-10 | 2022-01-05 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-15 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-15 | Not Fixed | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-12 | Not Fixed | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | Not Fixed | Y |
