Deficiency Records for Peters Township Skilled Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Peters Township Skilled Nursing and Rehabilitation. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-30 | 2024-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-30 | 2024-01-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-30 | 2024-01-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-30 | 2024-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-17 | N |
| Meet other general requirements. | Fire Safety | 2023-11-27 | 2024-01-17 | 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 | 2023-11-27 | 2024-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-07-10 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-11 | 2023-07-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-07-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-11 | 2023-07-02 | 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 | 2023-04-04 | 2023-05-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-02-28 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-20 | 2023-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-02-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-20 | 2023-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-20 | 2023-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-28 | 2022-12-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-02-28 | 2022-04-23 | 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 | 2022-02-28 | 2022-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-28 | 2022-04-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-19 | 2022-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-19 | 2022-03-09 | 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 | 2022-01-19 | 2022-03-09 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-19 | 2022-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-03-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-19 | 2022-03-09 | Y |
