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Deficiency Records for West Chester Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for West Chester Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for West Chester Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-27 | 2025-03-25 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-10-03 | 2024-11-05 | 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 | 2024-10-03 | 2024-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-03 | 2024-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-03 | 2024-11-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-03 | 2024-11-05 | 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 | 2024-10-03 | 2024-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-03 | 2024-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-15 | 2024-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-06 | 2024-06-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-06 | 2024-06-11 | 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 | 2024-05-06 | 2024-06-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-06 | 2024-06-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-06 | 2024-06-11 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-06 | 2024-06-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-06 | 2024-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-06 | 2024-06-11 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-05-06 | 2024-06-11 | N |
| Meet other general requirements. | Fire Safety | 2024-05-06 | 2024-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-06 | 2024-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-06 | 2024-05-05 | N |
| Meet other general requirements. | Fire Safety | 2024-05-06 | 2024-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-26 | 2024-04-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-28 | 2024-03-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-28 | 2024-03-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-17 | 2024-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-17 | 2024-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-17 | 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 | 2023-06-16 | 2023-07-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-07-17 | 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 | 2023-06-16 | 2023-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-16 | 2023-07-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-17 | 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 | 2023-06-16 | 2023-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-16 | 2023-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-16 | 2023-07-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-16 | 2023-07-17 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-16 | 2023-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-05-16 | Y |