Deficiency Records for Transitions Healthcare Gettysburg
Updated as of August 01, 2020
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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-21 | 2020-01-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-21 | 2020-01-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-21 | 2020-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2020-01-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2020-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2020-01-13 | N |
| 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 and maintain the bed rail. | Health | 2019-11-21 | 2020-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2020-01-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-21 | 2020-01-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-06-25 | 2019-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-26 | 2019-05-21 | Y |
| 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 and maintain the bed rail. | 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 |
