Deficiency Records for Moravian Village of Bethlehem
Updated as of June 01, 2020
This is not the most recent data for Moravian Village of Bethlehem. For the most recent information, click here.
A list of the most recent deficiencies for Moravian Village of Bethlehem. 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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Meet other general requirements. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-31 | 2019-03-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-25 | 2019-03-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-25 | 2019-03-11 | 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 | Health | 2019-01-25 | 2019-03-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-25 | 2019-03-11 | 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 | 2019-01-25 | 2019-03-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-01-25 | 2019-03-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-20 | 2018-04-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-20 | 2018-04-09 | N |
| Use approved construction type or materials. | Fire Safety | 2018-02-20 | 2018-04-09 | 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 | 2018-02-02 | 2018-03-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-08 | 2018-01-01 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-03-17 | 2017-05-01 | N |
| Use approved construction type or materials. | Fire Safety | 2017-03-20 | 2017-04-01 | N |
