A list of the most recent deficiencies for Park Terrace Village. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-21 | 2024-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-21 | 2024-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-21 | 2024-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-21 | 2024-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-21 | 2024-03-20 | N |
| Post nurse staffing information every day. | Health | 2024-02-21 | 2024-03-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-21 | 2024-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-21 | 2024-03-20 | 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 | 2024-02-21 | 2024-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-21 | 2024-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-21 | 2024-03-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-03-18 | 2024-03-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-01-12 | 2024-02-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2023-12-31 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-06 | 2023-09-19 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-09 | 2023-04-07 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-23 | 2022-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-23 | 2022-10-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-23 | 2022-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-10-23 | N |
| Post nurse staffing information every day. | Health | 2022-09-23 | 2022-10-23 | 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 | 2022-09-23 | 2022-10-23 | 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 | 2022-09-23 | 2022-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-23 | 2022-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-10-23 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-04 | 2022-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-05-27 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-28 | 2022-05-27 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-05 | 2019-04-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-03-05 | 2019-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-04-04 | N |
