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Deficiency Records for Lancaster Health Services
View the most recent health deficiencies and inspection results for Lancaster Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lancaster Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-19 | 2025-09-18 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-19 | 2025-09-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-08-19 | 2025-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-19 | 2025-09-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-19 | 2025-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-19 | 2025-09-16 | 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 | 2025-08-19 | 2025-09-16 | N |
| 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 | 2025-08-19 | 2025-09-16 | N |
| Respond appropriately to all alleged violations. | Health | 2025-02-19 | 2025-03-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-19 | 2025-03-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-27 | 2024-09-27 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-08-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-24 | 2024-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-07-24 | 2024-08-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-24 | 2024-05-03 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-24 | 2024-03-05 | N |
| 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 | 2023-04-06 | 2023-04-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-06 | 2023-04-06 | N |