A list of the most recent deficiencies for Scottish Rite Park Inc. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-05-16 | 2023-06-21 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-05-16 | 2023-06-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-16 | 2023-05-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-16 | 2023-05-31 | N |
| Have a properly constructed or installed hyperbaric treatment facility. | Fire Safety | 2023-05-16 | 2023-05-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-16 | 2023-05-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-16 | 2023-05-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-16 | 2023-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-16 | 2023-05-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-16 | 2023-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-05-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-17 | 2022-02-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-12 | 2021-05-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-12 | 2021-05-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-12 | 2021-05-13 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-02-20 | 2020-03-06 | 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 | 2020-02-20 | 2020-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-26 | 2020-03-03 | N |
