Deficiency Records for Accelerate Skilled Nursingandrehabilitation Phila
Updated as of April 01, 2024
A list of the most recent deficiencies for Accelerate Skilled Nursingandrehabilitation Phila. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-08 | 2023-10-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-08 | 2023-10-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-08 | 2023-10-09 | Y |
| Keep all essential equipment working safely. | Health | 2023-09-08 | 2023-10-09 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-08-28 | 2023-09-27 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-23 | 2023-08-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-23 | 2023-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-23 | 2023-07-18 | 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 | 2023-05-23 | 2023-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-07-18 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-21 | 2023-07-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-04 | 2023-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-04 | 2023-06-20 | 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 | 2023-05-04 | 2023-06-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-04 | 2023-06-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-04 | 2023-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-06-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-04 | 2023-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-04 | 2023-06-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-04 | 2023-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-04 | 2023-06-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-04 | 2023-06-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-04 | 2023-06-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-04 | 2023-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-04 | 2023-06-20 | 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 | 2023-05-04 | 2023-06-20 | 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 | 2023-05-04 | 2023-06-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-04 | 2023-06-20 | 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 | 2023-05-04 | 2023-06-20 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-04 | 2023-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-04 | 2023-06-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-04 | 2023-06-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-04 | 2023-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-03-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-26 | 2023-03-07 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-01-26 | 2023-03-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-08 | 2022-09-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-08 | 2022-09-28 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-06-22 | 2022-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-08-21 | 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 | 2022-07-05 | 2022-08-09 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-07-05 | 2022-08-09 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-16 | 2022-08-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-16 | 2022-08-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-16 | 2022-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-08-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-06-16 | 2022-08-09 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-06-16 | 2022-08-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-16 | 2022-08-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-16 | 2022-08-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-16 | 2022-08-09 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-16 | 2022-08-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-07 | 2022-02-14 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-05-19 | 2021-08-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-19 | 2021-08-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-19 | 2021-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-19 | 2021-08-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-19 | 2021-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-19 | 2021-08-03 | N |
| Meet other general requirements. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-19 | 2021-07-15 | 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 | 2021-05-19 | 2021-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Have an externally vented heating system. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-19 | 2021-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-14 | 2021-06-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-14 | 2021-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-14 | 2021-06-23 | 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 | 2021-05-14 | 2021-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-14 | 2021-06-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-14 | 2021-06-23 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-05-14 | 2021-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-14 | 2021-06-23 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-14 | 2021-06-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-05-14 | 2021-06-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-14 | 2021-06-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-06 | 2021-06-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-28 | Not Fixed | Y |
| 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 | 2023-07-24 | Not Fixed | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-24 | Not Fixed | Y |
| 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 | 2023-07-24 | Not Fixed | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-24 | Not Fixed | Y |
