Deficiency Records for Northern Dauphin Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Northern Dauphin Nursing 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-14 | 2023-10-19 | 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 | 2023-09-14 | 2023-10-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-14 | 2023-10-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-14 | 2023-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-19 | 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 | 2023-09-14 | 2023-10-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-14 | 2023-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-19 | 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 | 2023-09-14 | 2023-10-19 | Y |
| Keep all essential equipment working safely. | Health | 2023-09-14 | 2023-10-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-17 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-10-05 | 2023-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-06-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-05 | 2023-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-04 | 2023-04-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-22 | 2023-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-22 | 2023-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2022-12-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-22 | 2022-10-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-22 | 2022-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-22 | 2022-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-22 | 2022-10-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-22 | 2022-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-22 | 2022-10-25 | 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 | 2022-09-22 | 2022-10-25 | 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 | 2022-09-22 | 2022-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-22 | 2022-10-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-22 | 2022-10-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-22 | 2022-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-19 | 2022-06-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-19 | 2022-06-14 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-22 | 2022-04-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-14 | 2022-02-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-14 | 2022-02-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-14 | 2022-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-01 | Y |
| Meet other general requirements. | Fire Safety | 2021-09-30 | 2021-11-29 | 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 | 2021-09-30 | 2021-11-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-30 | 2021-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-30 | 2021-11-29 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-09-30 | 2021-11-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-30 | 2021-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-11-29 | 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 | 2021-09-02 | 2021-10-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-02 | 2021-10-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-02 | 2021-10-05 | 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 | 2021-09-02 | 2021-10-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-10-05 | 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 | 2021-09-02 | 2021-10-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-09-02 | 2021-10-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-02 | 2021-10-05 | 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 | 2021-09-02 | 2021-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-05 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-09-02 | 2021-10-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-02 | 2021-10-05 | Y |
| 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 | 2021-07-13 | 2021-07-23 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2021-07-13 | 2021-07-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-07-13 | 2021-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-17 | 2021-07-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-09 | 2021-04-29 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-04-09 | 2021-04-29 | Y |
