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Deficiency Records for Park Rose Care Center
A list of the most recent deficiencies for Park Rose 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 Park Rose 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-13 | 2024-12-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-24 | 2024-12-10 | Y |
| 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 | 2024-10-24 | 2024-12-10 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-10-24 | 2024-12-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-24 | 2024-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-24 | 2024-12-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-18 | 2024-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-18 | 2024-12-10 | N |
| Post nurse staffing information every day. | Health | 2024-09-18 | 2024-12-10 | 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 | 2024-09-18 | 2024-12-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-18 | 2024-12-10 | 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 | 2024-09-18 | 2024-12-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-09-18 | 2024-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-12-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-18 | 2024-12-10 | N |
| Keep all essential equipment working safely. | Health | 2024-09-18 | 2024-12-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-18 | 2024-12-10 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-18 | 2024-12-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-18 | 2024-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-18 | 2024-12-10 | Y |
| 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 | 2024-09-18 | 2024-12-10 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-09-18 | 2024-12-10 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-12 | 2024-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-12 | 2024-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-12 | 2024-11-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-12 | 2024-10-17 | 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 | 2024-09-12 | 2024-10-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-09-12 | 2024-10-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-12 | 2024-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-12 | 2024-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-12 | 2024-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-12 | 2024-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-12 | 2024-10-17 | N |
| 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 | 2024-07-11 | 2024-07-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-12 | 2024-07-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-12 | 2024-07-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-12 | 2024-07-09 | Y |
| 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 | 2024-04-29 | 2024-05-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-29 | 2024-05-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-29 | 2024-05-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-08 | 2024-03-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-24 | 2024-03-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-23 | 2023-11-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-07 | 2023-09-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-07 | 2023-09-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-07 | 2023-09-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-07 | 2023-09-28 | 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 | 2023-08-07 | 2023-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-07 | 2023-09-28 | 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 | 2023-08-07 | 2023-09-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-07 | 2023-09-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-07 | 2023-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-07 | 2023-09-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-07 | 2023-09-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-07 | 2023-09-28 | 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 | 2023-08-07 | 2023-09-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-07 | 2023-09-28 | 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 | 2023-08-07 | 2023-09-28 | 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 | 2023-08-07 | 2023-09-28 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-08-07 | 2023-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-07 | 2023-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-07 | 2023-09-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-07 | 2023-09-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-08-07 | 2023-09-28 | N |
| Keep all essential equipment working safely. | Health | 2023-08-07 | 2023-09-28 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-07 | 2023-09-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-01 | 2023-09-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-20 | 2023-07-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-30 | 2023-03-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-30 | 2023-03-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-30 | 2023-03-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-30 | 2023-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-01-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-05 | 2022-06-16 | 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 | 2022-05-05 | 2022-06-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-05 | 2022-06-16 | 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 | 2022-05-05 | 2022-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-06-16 | 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 | 2022-05-05 | 2022-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-06-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-05 | 2022-06-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-05 | 2022-06-16 | 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 | 2022-05-05 | 2022-06-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-05 | 2022-06-16 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-05 | 2022-06-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-05 | 2022-06-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-05-05 | 2022-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-05 | 2022-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-06-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-05 | 2022-06-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-05 | 2022-06-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-05 | 2022-06-09 | 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 | 2022-05-05 | 2022-06-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-05-05 | 2022-06-09 | N |
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