Deficiency Records for Shippensburg Rehabilitation and Health Care Center
Updated as of March 01, 2023
This is not the most recent data for Shippensburg Rehabilitation and Health Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-11-13 | 2020-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-13 | 2020-12-11 | Y |
| Report COVID19 data to residents and families. | Health | 2020-11-13 | 2020-12-11 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-07 | 2019-12-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2019-12-28 | 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 | 2019-11-07 | 2019-12-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-28 | N |
| Post nurse staffing information every day. | Health | 2019-11-07 | 2019-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-12 | 2019-12-28 | N |
