A list of the most recent deficiencies for Loyalhanna Care 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-14 | 2023-08-18 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-14 | 2023-08-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-18 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-14 | 2023-08-18 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-14 | 2023-08-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-03 | 2023-08-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-03 | 2023-08-18 | Y |
Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-09 | 2023-06-21 | 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 | 2023-05-09 | 2023-06-21 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-09 | 2023-06-21 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-03 | 2023-06-08 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-03 | 2023-06-08 | N |
Assess the resident when there is a significant change in condition | Health | 2023-05-03 | 2023-06-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-03 | 2023-06-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | 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 | 2023-05-03 | 2023-06-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-03 | 2023-06-08 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-03 | 2023-06-08 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-05-03 | 2023-06-08 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-03 | 2023-05-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-05-03 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-30 | 2023-05-03 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-03-30 | 2023-05-03 | Y |
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 | 2022-06-21 | 2022-08-12 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-21 | 2022-08-12 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-21 | 2022-08-12 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-16 | 2022-07-27 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-16 | 2022-07-27 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-06-16 | 2022-07-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-07-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-27 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-16 | 2022-07-27 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-16 | 2022-07-27 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-16 | 2022-07-27 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-16 | 2022-07-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-08 | 2022-03-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-08 | 2022-03-17 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-08 | 2022-03-17 | Y |
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 | 2021-12-28 | 2022-02-02 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-28 | 2022-02-02 | Y |
Meet other general requirements. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-16 | 2021-08-15 | 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 | 2021-06-16 | 2021-08-15 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-16 | 2021-08-15 | 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 | 2021-06-16 | 2021-08-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-16 | 2021-08-15 | N |
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 | 2021-06-10 | 2021-07-20 | N |
Respond appropriately to all alleged violations. | Health | 2021-06-10 | 2021-07-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | 2021-07-20 | 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 | 2021-06-10 | 2021-07-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-20 | 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 | 2021-06-10 | 2021-07-20 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-10 | 2021-07-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-10 | 2021-07-20 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-10 | 2021-07-20 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-06-10 | 2021-07-20 | 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 | 2021-06-10 | 2021-07-20 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-10 | 2021-07-20 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-10 | 2021-07-20 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-20 | N |
Keep all essential equipment working safely. | Health | 2021-06-10 | 2021-07-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-10 | 2021-07-20 | N |