Deficiency Records for Shippensburg Rehabilitation and Health Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Shippensburg Rehabilitation and Health 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-17 | 2023-10-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-17 | 2023-10-03 | 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 | 2023-08-17 | 2023-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-17 | 2023-10-03 | 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 | 2023-08-17 | 2023-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-17 | 2023-10-03 | 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 | 2023-08-17 | 2023-10-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-17 | 2023-10-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-10-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-17 | 2023-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-23 | 2023-07-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-25 | 2022-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-25 | 2022-09-30 | 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 | 2022-08-25 | 2022-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-06 | 2022-03-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-12 | 2021-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-12 | 2021-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-09-30 | 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 | 2021-08-12 | 2021-09-30 | N |
| 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 | 2021-08-12 | 2021-09-30 | N |
| Meet other general requirements. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-08-24 | 2021-09-30 | 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 | 2021-08-24 | 2021-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
