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Deficiency Records for Parkview Julian Healthcare Center
A list of the most recent deficiencies for Parkview Julian Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Parkview Julian Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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. | Health | 2024-07-02 | 2024-07-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-14 | 2024-07-17 | Y |
| 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. | Health | 2024-06-14 | 2024-07-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-03 | 2024-04-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-03 | 2024-04-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-03-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-04 | 2024-03-26 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-01-25 | 2024-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-09 | 2024-01-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-30 | 2023-12-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-09-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-07 | 2023-08-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-28 | 2023-07-29 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2023-07-28 | 2023-07-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-06 | 2023-07-20 | Y |
| 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. | Health | 2023-06-22 | 2023-07-20 | Y |
| Keep all essential equipment working safely. | Health | 2023-06-21 | 2023-07-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-30 | 2023-06-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-18 | 2023-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-18 | 2023-05-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-10 | 2023-05-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-10 | 2023-05-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-06 | 2023-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-06 | 2023-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-05-06 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-04-06 | 2023-05-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-06 | 2023-05-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-06 | 2023-05-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-06 | 2023-05-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-05-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-04-06 | 2023-05-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-06 | 2023-05-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-06 | 2023-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-06 | 2023-05-06 | N |
| 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. | Health | 2023-04-06 | 2023-05-06 | N |
| 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. | Health | 2023-04-06 | 2023-05-06 | N |
| 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. | Health | 2023-04-06 | 2023-05-06 | 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 | 2023-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-06 | N |
| 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. | Health | 2023-04-06 | 2023-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-04-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-02 | 2023-04-04 | Y |
| 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. | Health | 2023-02-13 | 2023-03-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-31 | 2023-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-10-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-29 | 2022-10-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-06 | 2022-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-06 | 2022-10-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-28 | 2022-10-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-26 | 2022-08-31 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-07-26 | 2022-08-31 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-07-26 | 2022-08-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-29 | 2022-06-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-22 | 2022-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-22 | 2022-04-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-26 | 2022-02-28 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-12-16 | 2022-02-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-16 | 2022-02-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-16 | 2022-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-02-02 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-17 | 2022-01-31 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-09 | 2020-04-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-13 | 2020-03-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-13 | 2020-03-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-13 | 2020-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-13 | 2020-03-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-13 | 2020-03-09 | N |
| 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. | Health | 2020-02-13 | 2020-03-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-13 | 2020-03-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-13 | 2020-03-09 | N |
| 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. | Health | 2020-02-13 | 2020-03-09 | N |
| 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. | Health | 2020-02-13 | 2020-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-02-13 | 2020-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2020-02-13 | 2020-03-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-13 | 2020-03-09 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2020-02-13 | 2020-03-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| 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. | Health | 2019-02-07 | 2019-03-11 | 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 | 2019-02-07 | 2019-03-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-07 | 2019-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-11 | N |
| 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. | Health | 2019-02-07 | 2019-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-07 | 2019-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-02-07 | 2019-03-11 | N |
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