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Deficiency Records for Park Lane Nursing Home
A list of the most recent deficiencies for Park Lane Nursing Home. 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 Park Lane Nursing Home. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-08 | 2023-07-05 | 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 | 2023-06-08 | 2023-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-15 | 2023-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-15 | 2023-06-14 | 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 | 2023-05-15 | 2023-06-14 | 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 | 2023-05-15 | 2023-06-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-09 | 2023-02-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-16 | 2021-11-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-16 | 2021-11-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-16 | 2021-11-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2021-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-16 | 2021-11-24 | 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 | 2021-10-05 | 2021-10-19 | 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 | 2021-10-05 | 2021-10-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-05 | 2021-10-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-10-05 | 2021-10-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-19 | 2019-12-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-19 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2019-12-20 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-06 | 2019-08-20 | N |
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