Deficiency Records for North Village Park
Updated as of July 01, 2019
This is not the most recent data for North Village Park. For the most recent information, click here.
A list of the most recent deficiencies for North Village 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-19 | 2018-12-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-19 | 2018-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-19 | 2018-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-19 | 2018-12-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-10-19 | 2018-12-02 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-10-19 | 2018-12-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-19 | 2018-12-02 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-10-19 | 2018-12-02 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-10-19 | 2018-12-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-19 | 2018-12-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-19 | 2018-12-02 | 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 | 2018-10-19 | 2018-12-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-19 | 2018-12-02 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-19 | 2018-12-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-19 | 2018-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-19 | 2018-12-02 | 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 | 2018-10-19 | 2018-12-02 | 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 | 2018-10-19 | 2018-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-19 | 2018-12-02 | 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 | 2018-10-19 | 2018-12-02 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-10-19 | 2018-12-02 | 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 | 2018-10-19 | 2018-12-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-19 | 2018-12-02 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-10-19 | 2018-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-19 | 2018-12-02 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-10-19 | 2018-12-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-21 | 2018-07-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-21 | 2018-07-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-21 | 2018-07-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-06-21 | 2018-07-23 | 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 | 2018-06-21 | 2018-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-21 | 2018-07-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-12 | 2018-02-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-01-12 | 2018-02-17 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-01-12 | 2018-02-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-01-12 | 2018-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-12 | 2018-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-12 | 2018-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-12 | 2018-02-17 | 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 | 2018-01-12 | 2018-02-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-01-12 | 2018-02-17 | 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 | 2018-01-12 | 2018-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-12 | 2018-02-17 | 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 | 2018-01-12 | 2018-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-12 | 2018-02-17 | Y |
| 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 | 2017-06-15 | 2017-07-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-01 | 2017-07-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-03 | 2017-06-12 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-03-14 | 2017-04-25 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-14 | 2017-04-25 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-14 | 2017-04-25 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-20 | 2016-11-28 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-10-20 | 2016-11-28 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-10-20 | 2016-11-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-20 | 2016-11-28 | 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 | 2016-10-20 | 2016-11-28 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-10-20 | 2016-11-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-10-20 | 2016-11-28 | N |
