A list of the most recent deficiencies for Masonic Village at Sewickley. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-09-22 | 2023-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-22 | 2023-11-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-22 | 2023-11-01 | 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 | 2023-09-22 | 2023-11-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-22 | 2023-11-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-22 | 2023-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-11-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-20 | 2023-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-29 | 2022-11-11 | 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 | 2022-09-29 | 2022-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-29 | 2022-11-11 | 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 | 2022-09-29 | 2022-11-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-29 | 2022-11-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-09-29 | 2022-11-04 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-21 | 2021-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-21 | 2021-08-31 | Y |
