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Deficiency Records for Temple Park Convalescent Hospital
A list of the most recent deficiencies for Temple Park Convalescent Hospital. 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 Temple Park Convalescent Hospital. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-09 | 2024-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-09 | 2024-08-31 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-09 | 2024-08-31 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-09 | 2024-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-08-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-26 | 2024-08-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-07-15 | 2024-08-04 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-22 | 2024-06-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-04 | 2024-05-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-11 | 2024-05-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-11 | 2024-05-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-11 | 2024-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-11 | 2024-05-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-04-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-04 | 2024-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-04 | 2024-04-28 | N |
| Post nurse staffing information every day. | Health | 2024-04-04 | 2024-04-28 | 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 | 2024-04-04 | 2024-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-04-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-04 | 2024-04-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-12 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-03-05 | 2024-03-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-07 | 2023-11-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-03 | 2023-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-06-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-12 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-06 | 2023-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-02 | 2022-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-09-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-01 | 2022-08-12 | 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 | 2022-08-01 | 2022-08-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-01 | 2022-08-12 | Y |
| 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 | 2022-08-01 | 2022-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-07-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-15 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-14 | 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-06-10 | 2021-07-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-10 | 2021-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-10 | 2021-07-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-10 | 2021-07-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-10 | 2021-07-07 | 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 | 2019-10-24 | 2019-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-24 | 2019-11-26 | 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 | 2019-10-24 | 2019-11-26 | 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 | 2019-10-24 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-24 | 2019-11-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-01 | 2019-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | Not Fixed | 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 | 2023-02-08 | Not Fixed | N |
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