Deficiency Records for Pottstown Skilled Nursing and Rehabilitation Cente
Updated as of April 01, 2024
A list of the most recent deficiencies for Pottstown Skilled Nursing and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-05 | 2023-06-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-05 | 2023-06-26 | 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 | 2023-05-05 | 2023-06-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-05 | 2023-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-06-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-05 | 2023-06-26 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-05-05 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-05 | 2023-06-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-05-05 | 2023-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-16 | 2022-11-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-16 | 2022-11-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-19 | 2022-11-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-16 | 2022-08-01 | 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 | 2022-06-16 | 2022-08-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-16 | 2022-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-16 | 2022-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-24 | 2022-08-01 | 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 | 2022-06-24 | 2022-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-21 | 2022-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-23 | 2021-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-30 | 2021-09-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-23 | 2021-09-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-07-23 | 2021-09-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-23 | 2021-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-23 | 2021-09-07 | 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 | 2021-07-23 | 2021-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-09-07 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-23 | 2021-09-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-23 | 2021-09-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Have an externally vented heating system. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-28 | 2021-09-07 | N |
