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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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