Deficiency Records for William Penn Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for William Penn Healthcare and Rehabilitation Center. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-30 | 2023-08-07 | 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 | 2023-06-30 | 2023-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-30 | 2023-08-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-30 | 2023-08-07 | 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 | 2023-06-30 | 2023-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-30 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-30 | 2023-08-07 | N |
| Meet other general requirements. | Fire Safety | 2023-06-13 | 2023-08-04 | 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 | 2023-06-13 | 2023-08-04 | N |
| Meet other general requirements. | Fire Safety | 2023-06-13 | 2023-08-04 | N |
| Meet other general requirements. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-25 | 2022-09-23 | 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 | 2022-07-25 | 2022-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-14 | 2022-08-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-14 | 2022-08-05 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-14 | 2022-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-09 | 2021-08-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-09 | 2021-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-09 | 2021-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-09 | 2021-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-09 | 2021-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-09 | 2021-08-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-09 | 2021-08-15 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-28 | 2021-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-28 | 2021-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-28 | 2021-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-28 | 2021-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-28 | 2021-08-15 | N |
