Federal Nursing-Home Survey Record
EMBASSY OF TUNKHANNOCK
Does EMBASSY OF TUNKHANNOCK have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), EMBASSY OF TUNKHANNOCK (CCN 395433), in TUNKHANNOCK, PA, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 14 deficiencies; the most serious carries scope/severity F. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $103,337 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
CMS has $103,337 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Civil money penalties on file
$103,337
CMS has $103,337 in civil money penalties on file against this facility. CMS also records 36 day(s) of payment denial.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 3.0
Deficiency timeline — full federal history
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide enough food/fluids to maintain a resident's health.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that residents are free from significant medication errors.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Provide appropriate foot care.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Assure the security of all personal funds of residents deposited with the facility.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide activities to meet all resident's needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Protect each resident from the wrongful use of the resident's belongings or money.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide and implement an infection prevention and control program.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a plan that describes the process for conducting QAPI and QAA activities.
Keep all essential equipment working safely.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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.
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.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Document what happened
Were you or a loved one harmed at EMBASSY OF TUNKHANNOCK?
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Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.