A list of the most recent deficiencies for Philadelphia Protestant Home. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-11-03 | 2023-12-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-03 | 2023-12-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-03 | 2023-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-12-29 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-11-03 | 2023-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-12-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-03 | 2023-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-03 | 2023-12-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-30 | 2023-12-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-01-06 | 2023-02-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-06 | 2023-02-17 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-06 | 2023-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-06 | 2023-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-06 | 2023-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-02-17 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-06 | 2023-02-17 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-01-06 | 2023-02-17 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2023-01-06 | 2023-02-17 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-01-12 | 2023-02-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-12 | 2023-02-01 | 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 | 2023-01-12 | 2023-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-12 | 2023-02-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-01-12 | 2023-02-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-12 | 2023-02-01 | N |
| Meet other general requirements. | Fire Safety | 2022-02-23 | 2022-05-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-02-23 | 2022-04-24 | 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 | 2022-02-23 | 2022-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-04-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-10 | 2022-02-28 | 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 | 2022-02-10 | 2022-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-10 | 2022-02-28 | 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 | 2022-02-10 | 2022-02-28 | 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 | 2022-02-10 | 2022-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-07-13 | Y |
