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Deficiency Records for Pinnacle Park Nursing and Rehab Center
A list of the most recent deficiencies for Pinnacle Park Nursing and Rehab 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 Pinnacle Park Nursing and Rehab 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-09-10 | 2024-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-10 | 2024-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-10 | 2024-10-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-10 | 2024-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-10 | 2024-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-10 | 2024-10-01 | 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 | 2024-07-24 | 2024-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-24 | 2024-08-30 | 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 | 2024-07-24 | 2024-08-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-24 | 2024-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-24 | 2024-08-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-11 | 2022-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-06 | 2022-08-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-06 | 2022-08-05 | 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 | 2022-07-06 | 2022-08-05 | 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 | 2022-07-06 | 2022-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-06 | 2022-08-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-14 | 2022-03-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-14 | 2022-03-24 | Y |
| 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 | 2021-02-04 | 2021-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-04 | 2021-02-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-04 | 2021-02-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-04 | 2021-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-04 | 2021-02-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-04 | 2021-02-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-01-12 | 2021-02-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-01-12 | 2021-02-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-01-12 | 2021-02-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-01-12 | 2021-02-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-12 | 2021-02-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-01-12 | 2021-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-12 | 2021-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-01-12 | 2021-02-08 | 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 | 2021-01-12 | 2021-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-12 | 2021-02-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-12 | 2021-02-08 | N |
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