Deficiency Records for York South Skilled Nursing and Rehabilitation Ctr
Updated as of December 01, 2018
This is not the most recent data for York South Skilled Nursing and Rehabilitation Ctr. For the most recent information, click here.
A list of the most recent deficiencies for York South Skilled Nursing and Rehabilitation Ctr. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-23 | 2018-10-09 | 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 | 2018-08-23 | 2018-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-23 | 2018-10-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-16 | 2018-10-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-16 | 2018-10-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-16 | 2018-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-10-02 | 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 | 2018-10-02 | 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 | 2018-10-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-16 | 2018-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-16 | 2018-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-10-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-08-16 | 2018-10-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-16 | 2018-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-16 | 2018-10-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-16 | 2018-10-02 | 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 | 2018-10-02 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-08-16 | 2018-10-02 | 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 | 2018-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-16 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-10-02 | 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 | 2018-08-16 | 2018-10-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-21 | 2018-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-21 | 2018-03-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-21 | 2018-03-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-21 | 2018-03-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-21 | 2018-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-21 | 2018-03-28 | Y |
| 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 | 2017-09-28 | 2017-11-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-28 | 2017-11-14 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-28 | 2017-11-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-28 | 2017-11-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-28 | 2017-11-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-28 | 2017-11-14 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-09-28 | 2017-11-14 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-09-28 | 2017-11-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-28 | 2017-11-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-28 | 2017-11-14 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-08-26 | 2016-10-17 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-26 | 2016-10-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-26 | 2016-10-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-26 | 2016-10-17 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-08-26 | 2016-10-17 | 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 | 2016-08-26 | 2016-10-17 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-08-26 | 2016-10-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-08-26 | 2016-10-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-26 | 2016-10-17 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-08-26 | 2016-10-17 | 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 | 2016-05-23 | 2016-06-01 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-01 | 2016-06-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-01 | 2016-06-01 | Y |
