Deficiency Records for The Estates of Hyde Park

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Updated as of April 01, 2024

A list of the most recent deficiencies for The Estates of Hyde Park. 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 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 2024-02-05 2024-02-14 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-01-04 2024-01-17 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-12-08 2024-01-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-08 2024-01-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-08 2024-01-03 N
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 2023-12-08 2024-01-03 N
Ensure medication error rates are not 5 percent or greater. Health 2023-12-08 2024-01-03 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 2023-12-08 2024-01-03 N
Provide and implement an infection prevention and control program. Health 2023-12-08 2024-01-03 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-08 2024-01-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-22 2023-12-22 Y
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 2023-12-08 2023-12-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-08 2023-12-22 N
Dispose of garbage and refuse properly. Health 2023-12-08 2023-12-22 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2023-12-08 2023-12-22 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 2023-12-08 2023-12-20 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-11-22 2023-12-19 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-09-14 2023-09-28 Y
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 2023-09-14 2023-09-25 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-14 2023-09-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-14 2023-09-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-17 2023-09-08 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-08-17 2023-09-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-30 2023-06-21 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-30 2023-06-21 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-30 2023-06-21 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-05-30 2023-06-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-30 2023-06-21 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 2023-05-30 2023-06-21 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 2023-05-30 2023-06-21 Y
Ensure that residents are free from significant medication errors. Health 2023-05-30 2023-06-21 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-15 2023-03-29 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 2022-12-30 2023-01-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-12-30 2023-01-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-22 2023-01-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-11-16 2022-11-29 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-10-19 2022-11-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-19 2022-11-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-19 2022-11-25 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-11-04 2022-11-25 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-11-04 2022-11-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-04 2022-11-25 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-04 2022-11-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-04 2022-11-25 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 2022-11-04 2022-11-25 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2022-11-04 2022-11-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-04 2022-11-25 N
Provide and implement an infection prevention and control program. Health 2022-11-04 2022-11-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-04 2022-11-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-04 2022-11-25 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 2022-10-19 2022-11-14 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-02 2022-09-19 Y
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 2022-09-02 2022-09-16 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-02 2022-09-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-02 2022-09-16 Y
Ensure that residents are free from significant medication errors. Health 2022-09-02 2022-09-16 Y
Provide and implement an infection prevention and control program. Health 2022-08-09 2022-08-23 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-01 2022-04-08 Y
Provide and implement an infection prevention and control program. Health 2022-02-01 2022-04-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-02-01 2022-02-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-01 2022-02-28 N
Ensure medication error rates are not 5 percent or greater. Health 2022-02-01 2022-02-28 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 2022-02-01 2022-02-28 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-02-01 2022-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-01 2022-02-28 N
Implement a program that monitors antibiotic use. Health 2022-02-01 2022-02-28 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 2022-02-01 2022-02-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-01 2022-02-01 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 2021-08-09 2021-08-27 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-14 2021-08-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-14 2021-08-11 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-07-14 2021-08-11 Y
Provide and implement an infection prevention and control program. Health 2021-04-30 2021-05-24 Y