Deficiency Records for Park Meadows Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Park Meadows Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-01 | 2023-10-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-10-02 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-01 | 2023-10-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-01 | 2023-10-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-29 | 2023-10-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-29 | 2023-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-29 | 2023-08-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-08-11 | 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 | 2023-06-29 | 2023-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-08-11 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-29 | 2023-08-04 | 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 | 2023-06-29 | 2023-08-04 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-29 | 2023-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-04 | 2023-04-07 | 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 | 2022-05-13 | 2022-06-10 | 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 | 2022-02-18 | 2022-05-09 | 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 | 2022-02-18 | 2022-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-18 | 2022-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-18 | 2022-04-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-18 | 2022-04-08 | 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 | 2022-02-18 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-11-22 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-04-01 | 2021-04-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-07 | 2020-11-03 | 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 | 2020-10-07 | 2020-11-03 | 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 | 2020-10-07 | 2020-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-07 | 2020-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2020-10-07 | 2020-11-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-05 | 2020-11-03 | N |
| Post nurse staffing information every day. | Health | 2020-10-07 | 2020-10-26 | N |
