Deficiency Records for Orange Park Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Orange Park Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-07-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-27 | 2023-07-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-27 | 2023-07-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-27 | 2023-07-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-08 | 2022-10-05 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-08 | 2021-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-08 | 2021-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-08 | 2021-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-08 | 2021-11-16 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-08 | 2021-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-08 | 2021-11-16 | 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 | 2021-10-06 | 2021-11-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-06 | 2021-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-06 | 2021-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-06 | 2021-04-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-06 | 2021-04-28 | Y |
| 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 | 2019-10-25 | 2019-12-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-25 | 2019-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-25 | 2019-12-16 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-10-25 | 2019-12-16 | 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 | 2019-10-25 | 2019-12-16 | 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 | 2019-10-25 | 2019-12-16 | 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 | 2019-10-25 | 2019-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-25 | 2019-12-16 | 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 | 2019-10-23 | 2019-12-15 | 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 | 2019-10-23 | 2019-12-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-10-23 | 2019-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-12-15 | N |
