Deficiency Records for Park Terrace Village
Updated as of January 01, 2021
This is not the most recent data for Park Terrace Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-26 | 2019-12-23 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-11-26 | 2019-12-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-30 | 2019-09-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-30 | 2019-09-29 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-30 | 2019-09-29 | 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 and implement an infection prevention and control program. | 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 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-28 | 2018-07-27 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-06-28 | 2018-07-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-18 | 2018-03-30 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-14 | 2018-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-14 | 2018-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-14 | 2018-03-06 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-02-14 | 2018-03-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-02-14 | 2018-03-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-01-18 | 2018-03-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-18 | 2018-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-18 | 2018-03-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-01-18 | 2018-03-06 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-18 | 2018-03-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-18 | 2018-03-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-18 | 2018-03-06 | Y |
| Assess the resident when there is a significant change in condition | Health | 2018-01-18 | 2018-03-06 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-01-18 | 2018-03-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-18 | 2018-03-06 | 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 | 2018-01-18 | 2018-03-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-18 | 2018-03-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-01-18 | 2018-03-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-18 | 2018-03-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-18 | 2018-03-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-18 | 2018-03-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-01-18 | 2018-03-06 | Y |
| 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 | 2016-12-14 | 2017-01-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-12-14 | 2017-01-13 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-11-17 | 2016-12-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-17 | 2016-12-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-17 | 2016-12-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-11-17 | 2016-12-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-17 | 2016-12-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-17 | 2016-12-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-17 | 2016-12-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-11-17 | 2016-12-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-17 | 2016-12-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-17 | 2016-12-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-17 | 2016-12-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-17 | 2016-12-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-17 | 2016-12-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-17 | 2016-12-17 | N |
