Deficiency Records for Pebblebrook Health Center at Park Springs
Updated as of March 01, 2024
A list of the most recent deficiencies for Pebblebrook Health Center at Park Springs. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-02 | 2023-12-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-06 | 2023-12-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2022-07-27 | 2022-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-27 | 2022-09-09 | 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 | 2022-07-17 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-17 | 2022-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-06 | 2019-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-06 | 2019-10-20 | 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 | 2019-09-06 | 2019-10-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-06 | 2019-10-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-06 | 2019-10-20 | 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 | 2019-09-06 | 2019-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-06 | 2019-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-06 | 2019-10-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-06 | 2019-10-20 | N |
