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Deficiency Records for Chariton Park Health Care Center
A list of the most recent deficiencies for Chariton Park Health Care 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 Chariton Park Health Care 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-25 | 2024-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-08 | 2024-06-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-08 | 2024-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-08 | 2024-06-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-08 | 2024-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-08 | 2024-06-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-08 | 2024-06-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-08 | 2024-04-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-08 | 2024-04-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-08 | 2024-04-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-08 | 2024-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-08 | 2024-04-19 | 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 | 2024-03-08 | 2024-04-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-08 | 2024-04-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-08 | 2024-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-08 | 2024-04-19 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-08 | 2024-04-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-08 | 2024-04-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-08 | 2024-04-19 | 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 | 2024-03-08 | 2024-04-19 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-03-08 | 2024-04-19 | 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 | 2024-03-08 | 2024-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-08 | 2024-04-19 | 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 | 2024-03-08 | 2024-04-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-08 | 2024-04-19 | 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 | 2024-03-08 | 2024-04-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-08 | 2024-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-08 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-08 | 2024-04-19 | 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 | 2024-03-08 | 2024-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-08 | 2024-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-08 | 2024-04-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Establish methods for sharing information. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Meet other general requirements. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-08 | 2024-04-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-08 | 2024-03-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-12 | 2024-01-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-12-12 | 2024-01-15 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-11-01 | 2023-11-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-01 | 2023-02-05 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-01 | 2022-12-23 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-19 | 2022-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-15 | 2022-09-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-19 | 2022-07-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-05-19 | 2022-07-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-19 | 2022-07-11 | 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 | 2022-05-19 | 2022-07-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-19 | 2022-07-11 | 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 | 2022-05-19 | 2022-07-11 | 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 | 2022-05-19 | 2022-07-11 | 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 | 2022-05-19 | 2022-07-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-05-19 | 2022-07-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-19 | 2022-07-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-19 | 2022-07-11 | 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 | 2022-05-19 | 2022-07-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-19 | 2022-07-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-07-11 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-19 | 2022-07-11 | 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 | 2022-05-19 | 2022-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Meet other general requirements. | Fire Safety | 2022-05-19 | 2022-07-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-03 | 2022-04-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-03 | 2022-04-19 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-11 | 2022-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-11 | 2022-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-11 | 2022-02-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-01-11 | 2022-02-28 | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-11-06 | 2019-12-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-11-06 | 2019-12-20 | 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 | 2019-11-06 | 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 | 2019-11-06 | 2019-12-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-11-06 | 2019-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-06 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-06 | 2019-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-06 | 2019-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2019-12-20 | N |
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