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Deficiency Records for North Park Post-Acute
A list of the most recent deficiencies for North Park Post-Acute. 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 North Park Post-Acute. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-23 | 2024-05-17 | 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 | 2024-01-05 | 2024-02-22 | 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 | 2023-12-26 | 2024-01-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-01 | 2023-09-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-01 | 2023-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-01 | 2023-09-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-01 | 2023-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-01 | 2023-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-01 | 2023-09-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-09-01 | 2023-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-01 | 2023-09-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-01 | 2023-09-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-01 | 2023-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-01 | 2023-09-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-05 | 2023-09-18 | 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 | 2023-09-05 | 2023-09-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-05 | 2023-09-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-11 | 2023-01-12 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-09-14 | 2022-09-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-08 | 2022-08-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-08-04 | 2022-08-11 | Y |
| Provide appropriate foot care. | Health | 2022-01-27 | 2022-02-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-26 | 2022-02-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-01 | 2021-11-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-01 | 2021-11-12 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-21 | 2020-03-27 | 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 | 2020-02-21 | 2020-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-21 | 2020-03-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-21 | 2020-03-27 | 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 | 2020-02-21 | 2020-03-27 | 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 | 2020-02-21 | 2020-03-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-21 | 2020-03-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-21 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-21 | 2020-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-21 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-25 | 2019-03-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-02-25 | 2019-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-25 | 2019-03-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-25 | 2019-02-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-25 | 2019-02-19 | 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 | 2019-01-25 | 2019-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-25 | 2019-02-19 | N |
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