A list of the most recent deficiencies for Hollidaysburg Veterans Home. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-24 | 2023-10-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-24 | 2023-10-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-24 | 2023-10-10 | 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 | 2023-08-24 | 2023-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-24 | 2023-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-24 | 2023-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-10-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-24 | 2023-10-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-24 | 2023-10-10 | 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 | 2023-08-24 | 2023-10-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-24 | 2023-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-10-10 | N |
| Meet other general requirements. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-19 | 2023-08-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-24 | 2023-06-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-24 | 2023-06-06 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-08-31 | 2022-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-31 | 2022-10-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-08-25 | 2022-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-10-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-08-25 | 2022-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-25 | 2022-10-11 | 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 | 2022-08-25 | 2022-10-11 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-08-25 | 2022-10-11 | 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 | 2022-08-25 | 2022-10-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-25 | 2022-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-10-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-25 | 2022-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-10-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-31 | 2022-10-11 | 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 | 2022-08-31 | 2022-10-11 | 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 | 2022-08-31 | 2022-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-31 | 2022-10-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-09-23 | 2021-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-11-16 | N |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2021-09-23 | 2021-11-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-23 | 2021-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-11-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-28 | 2021-11-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-28 | 2021-11-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-28 | 2021-11-16 | N |
