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Deficiency Records for William Penn Care Center
View the most recent health deficiencies and inspection results for William Penn Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for William Penn Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-20 | 2026-04-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-20 | 2026-04-22 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-06 | 2025-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-06 | 2025-07-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-06 | 2025-07-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-06 | 2025-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-06 | 2025-07-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-06 | 2025-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-06 | 2025-07-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-06 | 2025-07-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-06 | 2025-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-06-06 | 2025-07-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-03-26 | 2025-05-07 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-03-26 | 2025-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-15 | 2025-02-04 | 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 | 2024-09-09 | 2024-10-23 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-09-17 | 2024-10-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-17 | 2024-10-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-08-19 | N |
| 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 | 2024-07-19 | 2024-08-19 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-07-19 | 2024-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-19 | 2024-08-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-19 | 2024-08-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-19 | 2024-08-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-19 | 2024-08-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-19 | 2024-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-19 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-19 | 2024-08-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Develop a communication plan. | Fire Safety | 2024-07-19 | 2024-08-16 | 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 | 2024-07-19 | 2024-08-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-19 | 2024-08-16 | 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 | 2024-06-11 | 2024-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-07-15 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-12-14 | 2024-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-30 | 2023-10-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-30 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-30 | 2023-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-10-25 | 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 | 2023-08-30 | 2023-10-25 | 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 | 2023-08-30 | 2023-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-30 | 2023-10-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-30 | 2023-10-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-30 | 2023-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-30 | 2023-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-10-04 | 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 | 2023-08-30 | 2023-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-06 | 2023-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-06 | 2023-06-12 | Y |