Deficiency Records for Providence Rehab and Hlthcare Ctratmercyfitzgerald
A list of the most recent deficiencies for Providence Rehab and Hlthcare Ctratmercyfitzgerald. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Providence Rehab and Hlthcare Ctratmercyfitzgerald
YEADON, PA 19050
Provider #395989
Deficiency Records
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-06 | 2025-05-27 | Yes |
| Respond appropriately to all alleged violations. | Health | 2025-04-23 | 2025-05-19 | Yes |
| Provide and implement an infection prevention and control program. | Health | 2025-04-23 | 2025-05-19 | Yes |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-04-23 | 2025-05-19 | Yes |
| 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 | 2025-01-15 | 2025-03-16 | No |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-15 | 2025-03-16 | No |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-15 | 2025-03-16 | No |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-15 | 2025-03-16 | No |
| 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 | 2025-01-15 | 2025-03-16 | No |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-15 | 2025-03-16 | No |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-15 | 2025-03-16 | No |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-01-15 | 2025-03-16 | No |
| Provide and implement an infection prevention and control program. | Health | 2025-01-15 | 2025-03-16 | No |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-21 | 2025-03-15 | No |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-01-15 | 2025-01-15 | No |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-23 | 2024-10-21 | Yes |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-29 | 2024-06-17 | Yes |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-18 | 2024-04-15 | Yes |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-28 | 2024-03-11 | No |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-07 | 2024-03-04 | No |
| Provide and implement an infection prevention and control program. | Health | 2024-02-07 | 2024-03-04 | No |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-04 | Yes |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-07 | 2024-03-04 | No |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-07 | 2024-03-04 | No |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-22 | 2023-06-14 | Yes |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-22 | 2023-06-14 | Yes |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Install proper backup exit lighting. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-17 | 2023-05-16 | No |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-05-01 | No |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-03-27 | 2023-05-01 | No |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-27 | 2023-05-01 | No |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-27 | 2023-05-01 | No |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-27 | 2023-05-01 | No |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-27 | 2023-05-01 | No |
| Provide activities to meet all resident's needs. | Health | 2023-03-27 | 2023-05-01 | No |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-27 | 2023-05-01 | No |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-05-01 | No |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-27 | 2023-05-01 | No |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-27 | 2023-05-01 | No |
| 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 | 2023-03-27 | 2023-05-01 | No |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-27 | 2023-05-01 | No |
| 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 | 2022-12-29 | 2023-01-13 | Yes |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-11 | 2022-11-30 | Yes |
About Deficiency Records
Deficiency records are based on information provided by the Centers for Medicare & Medicaid Services (CMS) from both standard inspections and complaints filed by residents or their families.
Data Information
Data as of: September 01, 2025
Last Updated: September 01, 2025