Deficiency Records for Wecare at Penn Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Wecare at Penn Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| 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 | 2024-01-10 | 2024-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-22 | 2023-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-02 | 2023-08-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-02 | 2023-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-04 | 2023-07-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-04 | 2023-07-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-04 | 2023-07-06 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-06-04 | 2023-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-04 | 2023-07-06 | 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 | 2023-06-04 | 2023-07-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-04 | 2023-07-06 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-04 | 2023-07-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-04 | 2023-07-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-04 | 2023-07-06 | 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 | 2023-06-04 | 2023-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-04 | 2023-07-06 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-06-06 | 2023-07-06 | 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 | 2023-06-06 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-06 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-07-06 | 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 | 2022-08-25 | 2022-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-06-30 | 2022-08-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-30 | 2022-08-09 | N |
| Meet other general requirements. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-08-02 | 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 | 2022-03-29 | 2022-04-28 | Y |
| Post nurse staffing information every day. | Health | 2022-03-29 | 2022-04-28 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-28 | 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 | 2021-09-08 | 2021-10-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-08 | 2021-10-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-08 | 2021-10-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-08 | 2021-10-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-03 | 2021-09-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-03 | 2021-09-21 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-05-10 | 2021-06-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-30 | 2021-05-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-06 | 2021-04-23 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-03-10 | 2021-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-10 | 2021-04-20 | 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 | 2021-03-10 | 2021-04-20 | N |
| Keep all essential equipment working safely. | Health | 2021-03-10 | 2021-04-20 | Y |
