Deficiency Records for Transitions Healthcare Gettysburg
Updated as of April 01, 2019
This is not the most recent data for Transitions Healthcare Gettysburg. For the most recent information, click here.
A list of the most recent deficiencies for Transitions Healthcare Gettysburg. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-13 | 2019-02-06 | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2018-12-13 | 2019-02-06 | Y |
Give residents a notice of rights, rules, services and charges. | Health | 2018-12-13 | 2019-02-06 | 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 | 2018-12-13 | 2019-02-06 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-13 | 2019-02-06 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-13 | 2019-02-06 | Y |
Ensure each resident receives an accurate assessment. | Health | 2018-12-13 | 2019-02-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-13 | 2019-02-06 | 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 | 2018-12-13 | 2019-02-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-13 | 2019-02-06 | Y |
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 | Health | 2018-12-13 | 2019-02-06 | 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 | 2018-12-13 | 2019-02-06 | Y |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-12-13 | 2019-02-06 | Y |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-12-13 | 2019-02-06 | Y |
Install a two-hour-resistant firewall separation. | Fire Safety | 2018-12-12 | 2019-01-09 | 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 | 2018-12-12 | 2019-01-09 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-12-12 | 2019-01-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-12 | 2019-01-09 | 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 | 2018-09-20 | 2018-09-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-22 | 2018-08-20 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-22 | 2018-08-20 | Y |
Ensure each resident receives an accurate assessment. | Health | 2018-05-10 | 2018-05-30 | 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 | 2018-05-10 | 2018-05-30 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-10 | 2018-05-30 | Y |
Honor the resident's right to choose his or her attending physician. | Health | 2018-02-01 | 2018-02-16 | Y |
Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-11-17 | 2017-12-06 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-17 | 2017-12-06 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-17 | 2017-12-06 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-17 | 2017-12-06 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-17 | 2017-12-06 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-17 | 2017-12-06 | N |
Keep all essential equipment working safely. | Health | 2017-11-17 | 2017-12-06 | N |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-09-27 | 2017-10-30 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-27 | 2017-10-30 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-18 | 2017-09-05 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-18 | 2017-09-05 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-31 | 2017-08-29 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-31 | 2017-08-15 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-20 | 2017-07-11 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-20 | 2017-07-11 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-06 | 2017-02-20 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-27 | 2017-01-25 | N |
Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2016-12-27 | 2017-01-25 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-27 | 2017-01-25 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-27 | 2017-01-25 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-12-27 | 2017-01-25 | N |
Make sure that doctors visit residents regularly, as required. | Health | 2016-12-27 | 2017-01-25 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-27 | 2017-01-25 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-12-27 | 2017-01-25 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-27 | 2017-01-25 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-18 | 2016-12-08 | Y |