Deficiency Records for Transitional Care Unit at Nazareth Hospital
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-07-27 | 2023-09-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-27 | 2023-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-27 | 2023-09-25 | N |
| 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 | 2023-07-27 | 2023-09-25 | 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 | 2023-07-27 | 2023-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-02 | 2023-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-27 | 2022-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-20 | 2022-11-14 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-10-20 | 2022-10-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-10-20 | 2022-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-20 | 2022-10-31 | N |
| 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 | 2022-09-27 | 2022-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-25 | 2021-12-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-10-25 | 2021-12-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-25 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-25 | 2021-12-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-10-25 | 2021-12-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-10-25 | 2021-12-21 | N |
