Deficiency Records for York Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for York Nursing 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-30 | 2023-12-15 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-30 | 2023-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-30 | 2023-12-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-30 | 2023-12-15 | 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 | 2023-10-30 | 2023-12-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-30 | 2023-12-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-30 | 2023-12-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-30 | 2023-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-30 | 2023-12-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-30 | 2023-12-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-30 | 2023-12-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-30 | 2023-10-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-28 | 2023-10-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-28 | 2023-10-13 | Y |
| 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 | 2023-04-19 | 2023-05-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-19 | 2023-05-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-19 | 2023-05-23 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-19 | 2023-05-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-29 | 2023-02-02 | 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 | 2022-10-06 | 2022-11-14 | 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 | 2022-10-06 | 2022-11-14 | 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 | 2022-10-06 | 2022-11-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-06 | 2022-11-14 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-06 | 2022-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-06 | 2022-11-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-06 | 2022-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-06 | 2022-11-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-06 | 2022-11-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-06 | 2022-11-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-06 | 2022-11-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-06 | 2022-11-14 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-10-06 | 2022-11-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-06 | 2022-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-11-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-06 | 2022-11-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-10-18 | 2022-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-18 | 2022-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-18 | 2022-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-18 | 2022-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-18 | 2022-11-14 | 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 | 2022-08-31 | 2022-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-09-20 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2022-08-29 | 2022-09-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-01 | 2022-08-02 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-01 | 2022-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-01 | 2022-08-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-01 | 2022-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-10 | 2022-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-10 | 2022-08-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-10 | 2022-08-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-20 | 2022-06-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-20 | 2022-06-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-20 | 2022-06-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-20 | 2022-06-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-20 | 2022-06-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-20 | 2022-06-06 | Y |
| 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 | 2022-04-20 | 2022-06-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-15 | 2022-04-15 | Y |
| Meet other general requirements. | Fire Safety | 2021-11-02 | 2022-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-02 | 2022-01-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-09 | 2022-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-07 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-11-02 | 2022-01-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-02 | 2022-01-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-06 | 2021-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2021-11-28 | 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 | 2021-10-06 | 2021-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-06 | 2021-11-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-06 | 2021-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-06 | 2021-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-11-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-06 | 2021-11-28 | N |
| Keep all essential equipment working safely. | Health | 2021-10-06 | 2021-11-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-06 | 2021-11-28 | Y |
| 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 | 2021-10-06 | 2021-11-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-06 | 2021-11-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-13 | 2021-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-03 | 2021-08-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-03 | 2021-03-31 | Y |
| 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 | 2023-08-21 | Not Fixed | Y |
