CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Wyndmoor Hills Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for Wyndmoor Hills Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wyndmoor Hills Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-04 | 2026-03-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-04 | 2026-03-10 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-12-11 | 2026-01-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-03 | 2026-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-03 | 2026-01-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-11 | 2026-01-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-12-11 | 2026-01-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-11 | 2026-01-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-11 | 2026-01-06 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-25 | 2025-09-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-07 | 2025-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-29 | 2025-06-24 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-05-29 | 2025-06-24 | Y |
| 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 | 2025-02-26 | 2025-03-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-26 | 2025-03-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-26 | 2025-03-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-10 | 2025-03-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-10 | 2025-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-10 | 2025-03-03 | 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 | 2025-01-10 | 2025-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-10 | 2025-03-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-10 | 2025-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-10 | 2025-03-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-10 | 2025-03-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-01-10 | 2025-03-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-01-10 | 2025-03-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-01-10 | 2025-03-03 | N |
| 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 | 2025-01-10 | 2025-03-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-01-10 | 2025-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-10 | 2025-03-03 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2025-01-10 | 2025-03-03 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-10 | 2025-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-10 | 2025-03-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-10 | 2025-03-03 | N |
| Keep all essential equipment working safely. | Health | 2025-01-10 | 2025-03-03 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-02-08 | 2025-02-20 | Y |
| 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 | 2025-02-08 | 2025-02-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-17 | 2024-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-17 | 2024-10-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-17 | 2024-10-10 | Y |
| 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 | 2024-07-11 | 2024-08-29 | Y |
| Keep all essential equipment working safely. | Health | 2024-07-11 | 2024-08-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-11 | 2024-08-14 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-23 | 2024-05-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-23 | 2024-05-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-23 | 2024-05-22 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-02-23 | 2024-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-23 | 2024-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-23 | 2024-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Meet other general requirements. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-23 | 2024-05-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-23 | 2024-03-15 | Y |
| 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 | 2024-02-23 | 2024-03-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-23 | 2024-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-03-15 | Y |
| 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 | 2024-02-23 | 2024-03-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-23 | 2024-03-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-23 | 2024-03-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-03-15 | Y |
| 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 | 2024-02-23 | 2024-03-15 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-02-23 | 2024-03-15 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-02-23 | 2024-03-15 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-23 | 2024-03-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-23 | 2024-03-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-23 | 2024-03-15 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-23 | 2024-03-15 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-23 | 2024-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-23 | 2024-03-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-23 | 2024-03-15 | Y |
| Keep all essential equipment working safely. | Health | 2024-02-23 | 2024-03-15 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-02-23 | 2024-03-15 | Y |
| 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 | 2024-01-03 | 2024-02-27 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-03 | 2024-02-27 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-01-03 | 2024-02-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-03 | 2024-02-27 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-01-03 | 2024-02-27 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-04 | 2024-02-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-26 | 2023-11-17 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-26 | 2023-11-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-26 | 2023-11-17 | Y |
| 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 | 2023-08-30 | 2023-10-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-11 | 2023-08-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-11 | 2023-08-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-05-11 | 2023-08-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-11 | 2023-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-11 | 2023-08-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-11 | 2023-07-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-11 | 2023-07-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-11 | 2023-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-07-10 | N |
| 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 | 2023-05-11 | 2023-07-10 | 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 | 2023-05-11 | 2023-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-07-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-11 | 2023-07-10 | 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 | 2023-05-11 | 2023-07-10 | N |