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Deficiency Records for Compass Park
A list of the most recent deficiencies for Compass Park. 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 Compass Park. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-20 | 2024-10-18 | N |
| 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. | Health | 2024-09-20 | 2024-10-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-20 | 2024-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-20 | 2024-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-07 | 2024-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-07 | 2024-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-07 | 2024-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-20 | 2023-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-20 | 2023-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-11-21 | N |
| Post nurse staffing information every day. | Health | 2023-11-08 | 2023-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Develop a communication plan. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-19 | 2023-01-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-21 | 2022-12-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-21 | 2022-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-21 | 2022-12-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-12 | 2022-06-02 | Y |
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