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Deficiency Records for Foundation Park Care Center

A list of the most recent deficiencies for Foundation Park 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 Foundation Park 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?
Ensure that residents are free from significant medication errors. Health 2024-08-29 2024-09-20 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-05-16 2024-06-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-16 2024-06-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-05-16 2024-06-17 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-05-16 2024-06-17 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 2024-05-16 2024-06-17 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 2024-05-16 2024-06-17 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 2024-05-16 2024-06-17 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-16 2024-06-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-05-13 2024-06-17 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-05-13 2024-06-17 N
Provide properly protected cooking facilities. Fire Safety 2024-05-13 2024-06-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-05-13 2024-06-17 N
Install an approved automatic sprinkler system. Fire Safety 2024-05-13 2024-06-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-13 2024-06-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-05-13 2024-06-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-13 2024-06-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-13 2024-06-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-05-13 2024-06-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-05-13 2024-06-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-05-13 2024-06-17 N
Provide a written emergency evacuation plan. Fire Safety 2024-05-13 2024-06-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-13 2024-06-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-05-13 2024-06-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-13 2024-06-17 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 2023-10-02 2023-10-27 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-10-02 2023-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-30 2023-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-20 2023-07-28 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2022-12-19 2023-01-25 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-19 2023-01-25 N
Keep residents' personal and medical records private and confidential. Health 2022-12-19 2023-01-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-19 2023-01-25 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 2022-12-19 2023-01-25 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-12-19 2023-01-25 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-12-19 2023-01-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-19 2023-01-25 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 2022-12-19 2023-01-25 N
Ensure that residents are free from significant medication errors. Health 2022-12-19 2023-01-25 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 2022-12-19 2023-01-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-19 2023-01-25 N
Implement a program that monitors antibiotic use. Health 2022-12-19 2023-01-25 N
Perform COVID19 testing on residents and staff. Health 2022-12-19 2023-01-25 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-12-19 2023-01-25 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-12-19 2023-01-25 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 2022-12-13 2023-01-25 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 2022-12-13 2023-01-25 N
Provide properly protected cooking facilities. Fire Safety 2022-12-13 2023-01-25 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-12-13 2023-01-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-12-13 2023-01-25 N
Install an approved automatic sprinkler system. Fire Safety 2022-12-13 2023-01-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-12-13 2023-01-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-12-13 2023-01-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-13 2023-01-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-12-13 2023-01-25 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2022-12-13 2023-01-25 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-12-13 2023-01-25 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-12-13 2023-01-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-25 2021-11-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-16 2020-02-21 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2020-01-16 2020-02-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-01-16 2020-02-21 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 2020-01-16 2020-02-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-16 2020-02-21 N
Provide enough food/fluids to maintain a resident's health. Health 2020-01-16 2020-02-21 N
Have properly located and lighted "Exit" signs. Fire Safety 2020-01-14 2020-02-21 N
Provide properly protected cooking facilities. Fire Safety 2020-01-14 2020-02-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-01-14 2020-02-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-01-14 2020-02-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-14 2020-02-21 N

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