A list of the most recent deficiencies for Lancaster Health Services. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-06 | 2023-05-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-03 | 2023-04-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-06 | 2023-04-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-17 | 2022-09-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-17 | 2022-09-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-17 | 2022-09-09 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-12 | 2022-08-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-12 | 2022-05-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-01-12 | 2022-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-13 | 2022-02-05 | 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 necessary and PRN use is limited. | Health | 2022-01-13 | 2022-02-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-13 | 2022-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-13 | 2022-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-08-12 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-12-18 | 2020-02-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-12-18 | 2020-02-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-18 | 2020-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-18 | 2020-02-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-18 | 2020-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-01-15 | N |
