EPHRATA MANOR in EPHRATA, PA was fined $13,845 by CMS following 10 deficiency citations identified during federal surveys.

EPHRATA MANOR (EPHRATA, PA) — $13,845 in CMS Fines

Outcome: EPHRATA MANOR in EPHRATA, PA was fined $13,845 by CMS following 10 deficiency citations identified during federal surveys.

Deficiency areas cited:

• 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.


• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.


• Assure that each resident’s assessment is updated at least once every 3 months.


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


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


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


• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.


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