Deficiency Records for Embassy of Huntingdon Park

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Updated as of August 01, 2020

This is not the most recent data for Embassy of Huntingdon Park. For the most recent information, click here.

A list of the most recent deficiencies for Embassy of Huntingdon Park. 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?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-09-12 2019-11-04 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-09-12 2019-11-04 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-09-12 2019-11-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-12 2019-11-04 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 2019-09-12 2019-11-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-12 2019-11-04 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-12 2019-11-04 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 2019-09-12 2019-11-04 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 2019-09-12 2019-11-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-12 2019-11-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-12 2019-11-04 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-09-12 2019-11-04 N
Put firmly secured handrails on each side of hallways. Health 2019-09-12 2019-11-04 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-09-12 2019-11-04 Y
Have protected exits that allow the resident to escape the building. Fire Safety 2019-09-17 2019-10-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-17 2019-10-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-09-17 2019-10-30 N
Meet other general requirements that are deficient. Fire Safety 2019-09-17 2019-10-30 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2019-09-17 2019-10-30 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 2019-06-01 2019-07-21 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-01 2019-07-21 Y
Address subsistence needs for staff and patients. Fire Safety 2018-08-23 2018-10-03 N
Establish policies and procedures for volunteers. Fire Safety 2018-08-23 2018-10-03 N
Establish roles under a Waiver declared by secretary. Fire Safety 2018-08-23 2018-10-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-08-23 2018-10-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-08-23 2018-10-03 N
Have power receptacles that are properly grounded. Fire Safety 2018-08-23 2018-10-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-08-23 2018-10-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-08-16 2018-10-03 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 2018-08-16 2018-10-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-08-16 2018-10-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-08-16 2018-10-03 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2018-08-16 2018-10-03 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 2018-08-16 2018-10-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-08-16 2018-10-03 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 2018-08-16 2018-10-03 N
Provide and implement an infection prevention and control program. Health 2018-08-16 2018-10-03 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 2017-09-07 2017-10-31 N
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Health 2017-09-07 2017-10-31 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-09-07 2017-10-31 N
Allow residents the right to participate in the planning or revision of care and treatment. Health 2017-09-07 2017-10-31 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-09-07 2017-10-31 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-09-07 2017-10-31 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-09-07 2017-10-31 N
Store, cook, and serve food in a safe and clean way. Health 2017-09-07 2017-10-31 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2017-09-07 2017-10-31 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-09-07 2017-10-31 N
Keep all essential equipment working safely. Health 2017-09-07 2017-10-31 N
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Health 2017-09-07 2017-10-31 N
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Health 2017-09-07 2017-10-31 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-09-07 2017-10-31 N
Train all employees on what to do in an emergency, and carry out unannounced staff drills. Health 2017-09-07 2017-10-31 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Health 2017-09-07 2017-10-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2017-09-06 2017-09-22 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-04-28 2017-06-14 Y
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-04-28 2017-06-14 Y
Ensure that residents are safe from serious medication errors. Health 2017-04-28 2017-06-14 Y
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Health 2017-04-28 2017-06-14 Y