Deficiency Records for Moon Township Rehabilitation and Wellness Center
Updated as of June 01, 2023
This is not the most recent data for Moon Township Rehabilitation and Wellness Center. For the most recent information, click here.
A list of the most recent deficiencies for Moon Township Rehabilitation 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-28 | 2022-11-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-09-28 | 2022-11-02 | N |
| Meet other general requirements. | Fire Safety | 2022-09-28 | 2022-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-11-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-28 | 2022-11-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-28 | 2022-11-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-29 | 2022-10-25 | 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 | 2022-09-29 | 2022-10-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-29 | 2022-10-25 | 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 | 2022-09-29 | 2022-10-25 | 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 | 2022-09-29 | 2022-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-10-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-10 | 2022-08-26 | 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 | 2022-08-10 | 2022-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-05-27 | Y |
| 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 | 2022-04-13 | 2022-05-10 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-23 | 2022-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-27 | 2021-12-10 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-10-27 | 2021-12-10 | 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 | 2021-10-27 | 2021-12-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-27 | 2021-12-10 | N |
| 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 | 2021-10-27 | 2021-12-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-27 | 2021-12-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-27 | 2021-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-27 | 2021-12-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-27 | 2021-12-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-27 | 2021-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-27 | 2021-12-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-27 | 2021-12-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-27 | 2021-12-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-27 | 2021-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-12-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-25 | 2021-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-25 | 2021-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-25 | 2021-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-19 | 2021-02-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-11-08 | 2020-12-21 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-16 | 2019-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-13 | 2019-10-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-13 | 2019-10-18 | 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 | 2019-09-13 | 2019-10-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-13 | 2019-10-18 | 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 | 2019-09-13 | 2019-10-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-09-13 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-09-13 | 2019-10-18 | N |
