Deficiency Records for Waynesburg Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Waynesburg Healthcare 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-22 | 2023-10-17 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-22 | 2023-10-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-10-17 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Meet other general requirements. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-27 | 2023-04-27 | N |
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-03-24 | 2023-04-25 | N |
Provide information about how to apply for and use Medicare and Medicaid benefits. | Health | 2023-03-24 | 2023-04-25 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-24 | 2023-04-25 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-25 | N |
Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-04-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-25 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-24 | 2023-04-25 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-24 | 2023-04-25 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-03-24 | 2023-04-25 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-13 | 2022-06-17 | Y |
Honor the resident's right to choose his or her attending physician. | Health | 2022-04-19 | 2022-05-24 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-19 | 2022-05-24 | 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 | 2022-04-19 | 2022-05-24 | 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 | 2022-04-19 | 2022-05-24 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-19 | 2022-05-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-19 | 2022-05-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-19 | 2022-05-24 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-19 | 2022-05-24 | 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 | 2022-04-19 | 2022-05-24 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-19 | 2022-05-24 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-19 | 2022-05-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-18 | 2022-05-03 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-23 | 2022-04-11 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-02 | 2021-12-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-02 | 2021-12-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-12-07 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-10-21 | 2020-11-13 | N |
Provide family notifications of emergency plan. | Fire Safety | 2020-10-21 | 2020-11-13 | N |
Meet other general requirements. | Fire Safety | 2020-10-21 | 2020-11-13 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-21 | 2020-11-13 | 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 | 2020-10-21 | 2020-11-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-21 | 2020-11-13 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2020-10-21 | 2020-11-13 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-28 | 2020-11-04 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-09-28 | 2020-11-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-28 | 2020-11-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-28 | 2020-11-04 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-28 | 2020-11-04 | N |