A list of the most recent deficiencies for Palms 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-10 | 2022-03-04 | 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 | 2021-11-10 | 2022-03-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-10 | 2022-03-04 | 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 | 2021-11-10 | 2022-03-04 | 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 | 2021-11-10 | 2022-03-04 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-11-10 | 2022-03-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-10 | 2022-03-04 | 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 | 2021-11-10 | 2022-03-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-10 | 2022-03-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-10 | 2022-03-04 | Y |
| 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 | 2021-11-10 | 2022-03-04 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-10 | 2022-03-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2022-03-04 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-10 | 2022-03-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-10 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2022-03-04 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-10 | 2022-03-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-10 | 2022-03-04 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-11-10 | 2022-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2022-01-10 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-11-09 | 2021-11-29 | 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 | 2021-11-09 | 2021-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-09 | 2021-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-08 | 2021-11-17 | Y |
| Keep all essential equipment working safely. | Health | 2021-06-22 | 2021-07-22 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-04 | 2019-06-24 | 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 | 2019-06-04 | 2019-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-18 | 2019-05-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-18 | 2019-05-31 | 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 | 2019-04-18 | 2019-05-31 | 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 | 2019-04-18 | 2019-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-31 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-04-18 | 2019-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-08-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Develop a communication plan. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-19 | 2018-08-03 | 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 | 2018-07-19 | 2018-08-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-19 | 2018-08-03 | N |
