A list of the most recent deficiencies for The Williamsport Home. 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Meet other general requirements. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| 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 | 2023-02-28 | 2023-04-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-28 | 2023-04-17 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-24 | 2023-04-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-24 | 2023-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-24 | 2023-04-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-24 | 2023-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-04-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-24 | 2023-04-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-24 | 2023-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-24 | 2023-04-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-24 | 2023-04-03 | 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 | 2023-02-24 | 2023-04-03 | 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 | 2022-06-29 | 2022-08-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
| 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 | 2022-03-15 | 2022-05-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-15 | 2022-05-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-03-04 | 2022-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-04-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-04 | 2022-04-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-04 | 2022-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-04 | 2022-04-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-10-20 | 2021-11-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-20 | 2021-11-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-26 | 2021-04-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-26 | 2021-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-26 | 2021-04-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-02-26 | 2021-04-12 | 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 | 2021-02-26 | 2021-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-26 | 2021-04-12 | N |
| Use approved construction type or materials. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-09 | 2021-03-31 | N |
