Deficiency Records for Transitional Care Unit at Nazareth Hospital
Updated as of September 01, 2018
This is not the most recent data for Transitional Care Unit at Nazareth Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Transitional Care Unit at Nazareth Hospital. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2017-09-12 | 2017-12-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-09-12 | 2017-11-11 | 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 | 2017-09-12 | 2017-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-12 | 2017-11-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-12 | 2017-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-12 | 2017-11-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-08 | 2017-10-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-08 | 2017-10-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-08 | 2017-10-31 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-12 | 2016-12-09 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-10-12 | 2016-12-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-12 | 2016-12-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-07 | 2016-11-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-07 | 2016-11-18 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-10-07 | 2016-11-18 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-10-07 | 2016-11-11 | N |
| Keep clinical record information safe. | Health | 2016-10-07 | 2016-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-07 | 2016-11-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-10-07 | 2016-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-07 | 2016-11-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-07 | 2016-11-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-07 | 2016-11-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-07 | 2016-11-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-07 | 2016-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2016-10-07 | 2016-11-02 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-10-07 | 2016-10-28 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-10-07 | 2016-10-27 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2016-10-07 | 2016-10-24 | N |
| Allow residents to have visitors. | Health | 2016-10-07 | 2016-10-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-07 | 2016-10-07 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-31 | 2015-10-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-26 | 2015-09-09 | N |
