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 |