Deficiency Records for Parkway Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Parkway Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-11-30 | 2023-12-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2023-12-01 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-01 | 2023-07-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-01 | 2023-07-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-01 | 2023-07-31 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2023-06-01 | 2023-07-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-25 | 2023-07-06 | 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 | 2023-05-25 | 2023-07-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-25 | 2023-07-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-12 | 2023-07-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-12 | 2023-07-03 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-01 | 2023-06-30 | 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 | 2023-06-01 | 2023-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-28 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-25 | 2023-06-28 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-25 | 2023-06-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-25 | 2023-06-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-25 | 2023-06-28 | N |
| 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 | 2023-05-25 | 2023-06-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-05-25 | 2023-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-25 | 2023-06-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-25 | 2023-06-28 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-25 | 2023-06-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-25 | 2023-06-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-25 | 2023-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide appropriate foot care. | Health | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-28 | N |
| Keep all essential equipment working safely. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure resident rooms meet each resident's needs. | Health | 2023-05-25 | 2023-06-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-25 | 2023-06-28 | N |
| Have policies on smoking. | Health | 2023-05-25 | 2023-06-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-25 | 2023-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-13 | 2023-01-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-24 | 2022-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-24 | 2022-08-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-24 | 2022-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-24 | 2022-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-24 | 2022-08-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-17 | 2022-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-17 | 2022-07-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-17 | 2022-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-17 | 2022-07-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-17 | 2022-07-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-17 | 2022-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-17 | 2022-07-29 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide or obtain dental services for each resident. | Health | 2022-06-17 | 2022-07-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-24 | 2022-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-05-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-03 | 2022-03-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-11-03 | N |
| 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 | 2021-06-16 | 2021-09-24 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-16 | 2021-09-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-16 | 2021-09-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-16 | 2021-09-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-16 | 2021-09-24 | 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 | 2021-06-16 | 2021-09-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-16 | 2021-09-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-06-16 | 2021-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-05 | 2021-08-20 | Y |
| Meet the legal definition of a skilled nursing facility or nursing facility. | Health | 2021-06-16 | 2021-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-16 | 2021-08-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-16 | 2021-08-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-16 | 2021-08-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-16 | 2021-08-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-16 | 2021-08-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-16 | 2021-08-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-16 | 2021-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-16 | 2021-08-07 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-16 | 2021-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-16 | 2021-08-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-06-16 | 2021-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-16 | 2021-08-07 | 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 | 2021-06-16 | 2021-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-16 | 2021-08-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-16 | 2021-08-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-16 | 2021-08-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-06-16 | 2021-08-07 | N |
| Provide or obtain dental services for each resident. | Health | 2021-06-16 | 2021-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-16 | 2021-08-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-16 | 2021-08-07 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2021-06-16 | 2021-08-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-16 | 2021-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-16 | 2021-08-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-16 | 2021-08-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-06-16 | 2021-08-07 | N |
| Have policies on smoking. | Health | 2021-06-16 | 2021-08-07 | N |
