Deficiency Records for Transitional Care Unit at Nazareth Hospital
Updated as of March 01, 2023
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? |
|---|---|---|---|---|
| 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 |
| 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 |
