Deficiency Records for Lewisburg Healthcare Center
Updated as of January 01, 2024
This is not the most recent data for Lewisburg Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Lewisburg Healthcare Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-27 | 2023-10-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-20 | 2023-10-19 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-09-20 | 2023-10-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-10-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-20 | 2023-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-20 | 2023-10-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-20 | 2023-10-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-21 | 2023-07-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-21 | 2023-07-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-06 | 2022-08-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-06 | 2022-08-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-06 | 2022-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-06 | 2022-08-06 | 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 | 2022-07-06 | 2022-08-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-06 | 2022-08-06 | 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 | 2022-07-06 | 2022-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-06 | 2022-08-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-04 | 2020-01-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-04 | 2020-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-04 | 2020-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-04 | 2020-01-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-04 | 2020-01-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-04 | 2020-01-17 | 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 | 2019-12-04 | 2020-01-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-04 | 2020-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-04 | 2020-01-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-04 | 2019-12-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-19 | 2018-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-19 | 2018-11-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-19 | 2018-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-19 | 2018-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-19 | 2018-11-30 | 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 | 2018-10-19 | 2018-11-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-19 | 2018-11-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-19 | 2018-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-19 | 2018-11-30 | 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 | 2018-10-19 | 2018-11-30 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-19 | 2018-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-19 | 2018-11-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-10-19 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2018-11-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-10-17 | 2018-11-13 | N |
