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Deficiency Records for Ackert Park Skilled Nursing and Rehabilitation Cente
A list of the most recent deficiencies for Ackert Park Skilled Nursing and Rehabilitation Cente. 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 Ackert Park Skilled Nursing and Rehabilitation Cente. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-12 | 2024-08-16 | 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 | 2024-07-12 | 2024-08-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-12 | 2024-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-12 | 2024-08-16 | N |
| Post nurse staffing information every day. | Health | 2024-07-12 | 2024-08-16 | 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 | 2024-07-12 | 2024-08-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-12 | 2024-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-12 | 2024-08-16 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-12 | 2024-08-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-10 | 2024-08-16 | 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 | 2024-07-10 | 2024-08-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-10 | 2024-08-16 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-07-12 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-18 | 2024-07-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-05-02 | 2024-05-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-02 | 2024-05-29 | 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 | 2024-05-02 | 2024-05-29 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-07-13 | 2023-08-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-05 | 2023-07-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-05 | 2023-07-07 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-12-09 | 2023-01-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-16 | 2023-01-20 | 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 | 2022-12-16 | 2023-01-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-09 | 2023-01-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-09 | 2023-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-09 | 2023-01-06 | 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 | 2022-12-09 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-09 | 2023-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-09 | 2023-01-06 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-09 | 2023-01-06 | N |
| Keep all essential equipment working safely. | Health | 2022-12-09 | 2023-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-09 | 2023-01-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-12 | 2021-11-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-12 | 2021-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-19 | 2019-10-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-19 | 2019-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-10-03 | N |
| Keep all essential equipment working safely. | Health | 2019-08-19 | 2019-10-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
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