Deficiency Records for Susquehanna Health and Wellness Center
Updated as of April 01, 2021
This is not the most recent data for Susquehanna Health and Wellness Center. For the most recent information, click here.
A list of the most recent deficiencies for Susquehanna Health and Wellness 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-28 | 2021-01-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-28 | 2021-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-28 | 2021-01-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-11-18 | 2020-12-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-28 | 2019-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-28 | 2019-08-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-12 | 2018-12-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-24 | 2018-09-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-24 | 2018-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-24 | 2018-09-12 | 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 | 2018-07-24 | 2018-09-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-24 | 2018-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-24 | 2018-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-24 | 2018-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-24 | 2018-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-24 | 2018-09-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-24 | 2018-09-12 | 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 | 2018-07-24 | 2018-09-12 | 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 | 2018-07-24 | 2018-09-12 | N |
| Provide or obtain dental services for each resident. | Health | 2018-07-24 | 2018-09-12 | N |
| Keep all essential equipment working safely. | Health | 2018-07-24 | 2018-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-11 | 2018-05-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-11 | 2018-05-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-20 | 2017-11-02 | 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 | 2017-09-20 | 2017-11-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-09-20 | 2017-11-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-20 | 2017-11-02 | 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 | 2017-09-14 | 2017-10-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-14 | 2017-10-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-14 | 2017-10-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-14 | 2017-10-16 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-14 | 2017-10-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-14 | 2017-10-16 | N |
