Facility profile · CCN 395335
William Penn Nursing And Rehab
25 federal citations on record .
Record summary
Federal record · Q1 202625
Total citations
25
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
25 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 9, 2025 | F761 | 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. | D | Complaint |
| May 9, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| May 9, 2025 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard |
| May 9, 2025 | F791 | Provide or obtain dental services for each resident. | E | Standard |
| May 9, 2025 | F732 | Post nurse staffing information every day. | C | Standard |
| May 9, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| May 9, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jun 25, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jun 25, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jun 25, 2024 | F758 | 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. | D | Standard |
| Jun 25, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 25, 2024 | F688 | 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. | D | Standard |
| Jun 25, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jun 25, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 25, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 25, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jun 25, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jun 25, 2024 | F584 | 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. | D | Standard |
| Jun 30, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jun 30, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Jun 30, 2023 | F758 | 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. | D | Standard |
| Jun 30, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jun 30, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 30, 2023 | F625 | 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. | D | Standard |
| Jun 30, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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