Deficiency Records for Transitional Care Unit at Nazareth Hospital
Updated as of July 01, 2021
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? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-26 | 2019-11-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-26 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-26 | 2019-11-22 | 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 | 2019-09-06 | 2019-11-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-06 | 2019-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-11-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-06 | 2019-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-06 | 2019-11-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-06 | 2019-11-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-06 | 2019-11-05 | 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 | 2019-09-06 | 2019-11-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-09-06 | 2019-11-05 | 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 | 2019-09-06 | 2019-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-06 | 2019-10-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-05 | 2019-01-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-05 | 2019-01-04 | 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 | 2018-11-05 | 2019-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-05 | 2019-01-04 | 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 | 2018-11-06 | 2019-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-06 | 2019-01-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-06 | 2019-01-01 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2018-11-06 | 2018-12-07 | Y |
| 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 | 2018-11-06 | 2018-11-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-06 | 2018-11-11 | N |
| 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 |
