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Locust Grove Retirement Village

📍 69 Cottage Road, Mifflin, PA 17058 📞 (717) 436-8921 🛏️ 104 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

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Health Violations by Year

2024 19 violations

Tag 0790 D Jun 18, 2024

Provide routine and 24-hour emergency dental care for each resident.

✓ Corrected: Jul 5, 2024
Tag 0578 D May 3, 2024

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.

✓ Corrected: Jun 14, 2024
Tag 0584 D May 3, 2024

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.

✓ Corrected: Jun 14, 2024
Tag 0600 G May 3, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 28, 2024
Tag 0607 D May 3, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 14, 2024
Tag 0655 D May 3, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jun 14, 2024
Tag 0677 E May 3, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 14, 2024
Tag 0684 D May 3, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 14, 2024
Tag 0686 D May 3, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 14, 2024
Tag 0688 D May 3, 2024

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.

✓ Corrected: Jun 14, 2024
Tag 0692 D May 3, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 14, 2024
Tag 0699 D May 3, 2024

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Jun 14, 2024
Tag 0725 E May 3, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jun 14, 2024
Tag 0726 D May 3, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jun 14, 2024
Tag 0744 D May 3, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Jun 14, 2024
Tag 0758 D May 3, 2024

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.

✓ Corrected: Jun 14, 2024
Tag 0759 D May 3, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 14, 2024
Tag 0761 E May 3, 2024

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.

✓ Corrected: Jun 14, 2024
Tag 0880 E May 3, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 14, 2024

2023 11 violations

Tag 0600 D Aug 4, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 29, 2023
Tag 0607 D Aug 4, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 29, 2023
Tag 0641 D Aug 4, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 29, 2023
Tag 0684 D Aug 4, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 29, 2023
Tag 0686 D Aug 4, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 29, 2023
Tag 0697 E Aug 4, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Aug 29, 2023
Tag 0729 D Aug 4, 2023

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

✓ Corrected: Aug 29, 2023
Tag 0730 E Aug 4, 2023

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Aug 29, 2023
Tag 0791 D Aug 4, 2023

Provide or obtain dental services for each resident.

✓ Corrected: Aug 29, 2023
Tag 0812 E Aug 4, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 29, 2023
Tag 0842 D Aug 4, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 29, 2023
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2022 9 violations

Tag 0561 D Aug 12, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Sep 21, 2022
Tag 0679 D Aug 12, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Sep 21, 2022
Tag 0684 D Aug 12, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Sep 21, 2022
Tag 0686 D Aug 12, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 21, 2022
Tag 0689 D Aug 12, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 21, 2022
Tag 0695 D Aug 12, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 21, 2022
Tag 0755 D Aug 12, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 21, 2022
Tag 0880 E Aug 12, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 21, 2022
Tag 0886 E Aug 12, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Sep 21, 2022

2021 12 violations

Tag 0623 B Sep 3, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Oct 13, 2021
Tag 0625 D Sep 3, 2021

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Oct 13, 2021
Tag 0685 D Sep 3, 2021

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Oct 13, 2021
Tag 0690 E Sep 3, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 13, 2021
Tag 0695 E Sep 3, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Oct 13, 2021
Tag 0697 D Sep 3, 2021

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Oct 13, 2021
Tag 0698 E Sep 3, 2021

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Oct 13, 2021
Tag 0756 D Sep 3, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Oct 13, 2021
Tag 0761 D Sep 3, 2021

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.

✓ Corrected: Oct 13, 2021
Tag 0695 D May 13, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jun 15, 2021
Tag 0726 E May 13, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jun 15, 2021
Tag 0880 D May 13, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 15, 2021
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2020 7 violations

Tag 0578 D Dec 30, 2020

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.

✓ Corrected: Jan 22, 2021
Tag 0883 D Dec 30, 2020

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jan 22, 2021
Tag 0690 D Nov 9, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 4, 2020
Tag 0607 D Feb 28, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Apr 7, 2020
Tag 0688 D Feb 28, 2020

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.

✓ Corrected: Apr 7, 2020
Tag 0689 D Feb 28, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 7, 2020
Tag 0849 E Feb 28, 2020

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.

✓ Corrected: Apr 7, 2020

2019 12 violations

Tag 0558 D Mar 14, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: May 1, 2019
Tag 0609 D Mar 14, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 1, 2019
Tag 0641 D Mar 14, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: May 1, 2019
Tag 0656 E Mar 14, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 1, 2019
Tag 0657 E Mar 14, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 1, 2019
Tag 0689 D Mar 14, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 1, 2019
Tag 0730 D Mar 14, 2019

Observe each nurse aide's job performance and give regular training.

✓ Corrected: May 1, 2019
Tag 0758 D Mar 14, 2019

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.

✓ Corrected: May 1, 2019
Tag 0804 D Mar 14, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: May 1, 2019
Tag 0880 D Mar 14, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: May 1, 2019
Tag 0657 D Mar 6, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 1, 2019
Tag 0842 D Mar 6, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 1, 2019
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2018 6 violations

Tag 0842 D Nov 20, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Dec 10, 2018
Tag 0558 D Aug 13, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 10, 2018
Tag 0609 D Mar 29, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 8, 2018
Tag 0623 D Mar 29, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: May 8, 2018
Tag 0658 D Mar 29, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 8, 2018
Tag 0812 D Mar 29, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 8, 2018

2017 8 violations

Tag 0281 D Aug 13, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Sep 15, 2017
Tag 0514 D Aug 13, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Sep 15, 2017
Tag 0309 D Jun 8, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jul 24, 2017
Tag 0273 D Feb 16, 2017

Assess in a timely manner the resident when the resident enters the nursing home.

✓ Corrected: Apr 3, 2017
Tag 0274 D Feb 16, 2017

Review or revise the resident's care plan after any major change in physical or mental health.

✓ Corrected: Apr 3, 2017
Tag 0275 D Feb 16, 2017

Completely assess the resident at least every twelve months.

✓ Corrected: Apr 3, 2017
Tag 0278 E Feb 16, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Apr 3, 2017
Tag 0279 D Feb 16, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 3, 2017
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