A list of the most recent deficiencies for The Gardens at Tunkhannock. 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 organize and participate in resident/family groups in the facility. | Health | 2024-01-22 | 2024-03-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-22 | 2024-03-04 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-25 | 2023-06-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-25 | 2023-06-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-25 | 2023-06-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-04-21 | 2023-06-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-21 | 2023-06-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-21 | 2023-06-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-21 | 2023-06-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-21 | 2023-06-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-21 | 2023-06-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-04-21 | 2023-06-05 | 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 | 2023-04-21 | 2023-06-05 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-21 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-21 | 2023-06-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-21 | 2023-06-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-21 | 2023-06-05 | 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 | 2023-04-21 | 2023-06-05 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-21 | 2023-06-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-29 | 2023-06-05 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-24 | 2023-03-02 | Y |
| Report COVID19 data to residents and families. | Health | 2023-01-24 | 2023-03-02 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-24 | 2023-03-02 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-08-03 | 2022-08-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-13 | 2022-06-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-13 | 2022-06-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-05-13 | 2022-06-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-13 | 2022-06-16 | 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 | 2022-05-13 | 2022-06-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-05-13 | 2022-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-16 | 2021-08-23 | 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 | 2021-07-16 | 2021-08-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-16 | 2021-08-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-07-16 | 2021-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-16 | 2021-08-23 | 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 | 2021-07-16 | 2021-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-16 | 2021-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-08-23 | Y |
| 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 | 2021-07-16 | 2021-08-23 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-15 | 2021-08-06 | 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 | 2021-07-15 | 2021-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-16 | 2021-07-16 | Y |
