Deficiency Records for Gettysburg Center
Updated as of July 01, 2020
This is not the most recent data for Gettysburg Center. For the most recent information, click here.
A list of the most recent deficiencies for Gettysburg 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? |
---|---|---|---|---|
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-19 | 2019-10-31 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-19 | 2019-10-31 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-19 | 2019-10-31 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-19 | 2019-10-31 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-19 | 2019-10-31 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-19 | 2019-10-31 | Y |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-09-19 | 2019-10-31 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-09-19 | 2019-10-31 | Y |
Provide or obtain dental services for each resident. | Health | 2019-09-19 | 2019-10-31 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-19 | 2019-10-31 | Y |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-09-19 | 2019-10-31 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-12 | 2019-10-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-12 | 2019-10-28 | 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 | 2019-09-12 | 2019-10-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-10-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-12 | 2019-10-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-12 | 2019-10-28 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-25 | 2019-04-18 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-25 | 2019-04-18 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-20 | 2018-11-07 | 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 | 2018-09-20 | 2018-11-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-09-20 | 2018-11-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-20 | 2018-11-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-20 | 2018-11-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-20 | 2018-11-07 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-20 | 2018-11-07 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-20 | 2018-11-07 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-13 | 2018-10-30 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-13 | 2018-10-30 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-13 | 2018-10-30 | 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 | 2018-09-13 | 2018-10-30 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-13 | 2018-10-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-13 | 2018-10-30 | 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 | 2018-09-13 | 2018-10-30 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-09-13 | 2018-10-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-10-30 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2018-01-30 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-10-30 | 2017-12-08 | 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 | 2017-10-30 | 2017-12-08 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-10-30 | 2017-12-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-30 | 2017-12-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-30 | 2017-12-08 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-19 | 2017-12-08 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-19 | 2017-12-08 | N |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-10-19 | 2017-12-08 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-19 | 2017-12-08 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-19 | 2017-12-08 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-19 | 2017-12-08 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-19 | 2017-12-08 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-19 | 2017-12-08 | N |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-10-19 | 2017-12-08 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-19 | 2017-12-08 | N |
Provide special eating equipment and utensils for each resident who needs them. | Health | 2017-10-19 | 2017-12-08 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-19 | 2017-12-08 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-19 | 2017-12-08 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-02 | 2017-06-21 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-02 | 2017-06-21 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-05-19 | 2017-06-13 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-16 | 2017-06-13 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-16 | 2017-06-13 | Y |