A list of the most recent deficiencies for Brookdale University Park Snf (al). 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? |
|---|---|---|---|---|
| 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 | 2019-12-11 | 2020-01-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-05 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2020-01-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-05 | 2020-01-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2018-12-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-20 | 2018-12-24 | 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 | 2018-11-20 | 2018-12-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-20 | 2018-12-24 | 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 | 2018-11-20 | 2018-12-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-20 | 2018-12-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-23 | 2018-02-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-01-11 | 2018-02-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-11 | 2018-02-15 | 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 | 2018-01-11 | 2018-02-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-11 | 2018-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-15 | N |
