Deficiency Records for Parkway Hills Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Parkway Hills Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-01-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-05 | 2024-01-16 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-05 | 2024-01-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-09 | 2023-08-30 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-06-09 | 2023-08-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-08-02 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-06-09 | 2023-08-02 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-09-12 | 2022-10-20 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-09-16 | 2022-10-12 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-16 | 2022-10-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-16 | 2022-10-12 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-09-28 | 2022-09-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-28 | 2022-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-09-29 | 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 | 2022-08-16 | 2022-08-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-08 | 2022-07-14 | 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 | 2022-07-08 | 2022-07-14 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-20 | 2022-02-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-20 | 2022-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2022-02-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-12-20 | 2022-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-20 | 2022-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-20 | 2022-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-11 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-17 | 2022-01-14 | 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 | 2021-12-17 | 2022-01-14 | 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 | 2021-12-17 | 2022-01-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-17 | 2022-01-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-12-17 | 2022-01-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-17 | 2022-01-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-17 | 2022-01-14 | 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 | 2021-12-17 | 2022-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-17 | 2022-01-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-17 | 2022-01-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-17 | 2022-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-01-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-29 | 2021-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-29 | 2021-10-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-14 | 2021-07-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-21 | 2021-06-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-21 | 2021-06-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-01 | 2021-03-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-03-01 | 2021-03-22 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-03-01 | 2021-03-22 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-01 | 2021-03-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-09 | 2020-01-27 | 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 | 2019-11-21 | 2019-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2019-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-20 | 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 | 2019-11-21 | 2019-12-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-21 | 2019-12-20 | 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 | 2019-11-21 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-21 | 2019-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-21 | 2019-12-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-20 | 2019-01-11 | 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 | 2018-12-20 | 2019-01-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-12-20 | 2019-01-11 | 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 | 2018-12-20 | 2019-01-11 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-20 | 2019-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-20 | 2019-01-11 | 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 | 2018-11-08 | 2019-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-08 | 2019-01-07 | 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 | 2018-11-08 | 2019-01-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-11-08 | 2019-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2019-01-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-11-08 | 2019-01-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-08 | 2019-01-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-17 | Not Fixed | N |
