Deficiency Records for Norriton Square Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Norriton Square Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-06-28 | 2023-08-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-28 | 2023-08-23 | 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 | 2023-06-28 | 2023-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-28 | 2023-08-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-08 | 2023-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-08-02 | N |
| Keep all essential equipment working safely. | Health | 2023-06-08 | 2023-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-30 | 2022-10-18 | Y |
| 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 | 2022-08-30 | 2022-10-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-30 | 2022-10-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-30 | 2022-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-30 | 2022-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-30 | 2022-10-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-09-01 | 2022-10-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-01 | 2022-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-01 | 2022-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-01 | 2022-10-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-01 | 2022-10-18 | N |
| Use approved construction type or materials. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-25 | 2021-12-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-08-23 | 2021-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-23 | 2021-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-23 | 2021-10-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-08-23 | 2021-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-23 | 2021-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-23 | 2021-10-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-23 | 2021-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-23 | 2021-08-23 | N |
