A list of the most recent deficiencies for The Springs of Park Ave. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-12 | 2023-06-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-12 | 2023-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-12 | 2023-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-12 | 2023-06-11 | 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 | 2023-05-12 | 2023-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-12 | 2023-06-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-12 | 2023-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-12 | 2023-06-11 | 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 | 2023-05-11 | 2023-06-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-11 | 2023-06-11 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2023-05-12 | 2023-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-31 | 2022-09-29 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-08-31 | 2022-09-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-24 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-24 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-03-25 | 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 | 2022-02-23 | 2022-03-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-02-23 | 2022-03-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-24 | 2022-02-24 | N |
| Report COVID19 data to residents and families. | Health | 2021-06-17 | 2021-07-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-05-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-04 | 2020-12-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-04 | 2020-12-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-04 | 2020-12-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-12-04 | 2020-12-25 | 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 | 2020-12-04 | 2020-12-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-04 | 2020-12-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-04 | 2020-12-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-12-03 | 2020-12-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-12-03 | 2020-12-25 | N |
