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Deficiency Records for Parkway Pavilion Health and Rehabilitation Center
A list of the most recent deficiencies for Parkway Pavilion Health and Rehabilitation 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 Parkway Pavilion Health and Rehabilitation 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? |
---|---|---|---|---|
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 | 2024-09-11 | 2024-10-21 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-11 | 2024-10-21 | N |
Respond appropriately to all alleged violations. | Health | 2024-09-11 | 2024-10-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-09-11 | 2024-10-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-11 | 2024-10-21 | 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 | 2024-09-11 | 2024-10-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-11 | 2024-10-21 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-09-11 | 2024-10-21 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-11 | 2024-10-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-11 | 2024-10-21 | 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 | 2024-09-11 | 2024-10-21 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-09-11 | 2024-10-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-11 | 2024-10-21 | 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 | 2024-09-11 | 2024-10-21 | 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 | 2024-09-11 | 2024-10-21 | 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 | 2024-09-11 | 2024-10-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-11 | 2024-10-21 | N |
Dispose of garbage and refuse properly. | Health | 2024-09-11 | 2024-10-21 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-11 | 2024-10-21 | N |
Provide and implement an infection prevention and control program. | Health | 2024-09-11 | 2024-10-21 | N |
Keep all essential equipment working safely. | Health | 2024-09-11 | 2024-10-21 | N |
Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-09-11 | 2024-10-21 | 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 | 2024-09-11 | 2024-10-21 | N |
Have exits that are accessible at all times. | Fire Safety | 2024-09-05 | 2024-10-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-10-15 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-09-05 | 2024-10-15 | N |
Establish staff and initial training requirements. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-09-05 | 2024-10-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-03-09 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-30 | 2022-12-19 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-21 | 2022-12-05 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-01 | 2022-04-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-01 | 2022-04-01 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-02-01 | 2022-04-01 | N |
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. | Health | 2022-02-04 | 2022-03-18 | 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 | 2022-02-04 | 2022-03-18 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-04 | 2022-03-18 | 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 | 2022-02-04 | 2022-03-18 | 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 | 2022-02-04 | 2022-03-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-04 | 2022-03-18 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-04 | 2022-03-18 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-03-18 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-04 | 2022-03-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-08 | 2019-09-17 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-08 | 2019-09-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-08 | 2019-09-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-08 | 2019-09-17 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-08 | 2019-09-17 | 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 | 2019-08-08 | 2019-09-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-08 | 2019-09-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-08 | 2019-09-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-12 | 2019-08-28 | N |
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