Deficiency Records for Parkdale Manor Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Parkdale Manor Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-15 | 2023-10-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-15 | 2023-09-01 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-08-15 | 2023-09-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-15 | 2023-09-01 | 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 | 2023-08-15 | 2023-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-15 | 2023-09-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-15 | 2023-09-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-15 | 2023-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-15 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-15 | 2023-09-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-15 | 2023-09-01 | 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 | 2023-08-15 | 2023-09-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-15 | 2023-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-15 | 2023-09-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-08-15 | 2023-09-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-08-15 | 2023-09-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-15 | 2023-09-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-15 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-09-01 | 2021-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-01 | 2021-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-01 | 2021-10-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-01 | 2021-10-11 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-09-01 | 2021-10-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-01 | 2021-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-01 | 2021-10-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-01 | 2021-10-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-09-01 | 2021-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-01 | 2021-10-11 | 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 | 2021-09-01 | 2021-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-01 | 2021-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-01 | 2021-10-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-01 | 2021-10-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-09-01 | 2021-10-11 | N |
| Post nurse staffing information every day. | Health | 2021-09-01 | 2021-10-11 | 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 | 2021-09-01 | 2021-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-01 | 2021-10-11 | 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 | 2021-09-01 | 2021-10-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-01 | 2021-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-10-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-01 | 2021-10-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-09-01 | 2021-10-11 | 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 | 2021-09-01 | 2021-10-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-01 | 2021-10-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-01 | 2021-09-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-06 | 2019-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-06 | 2019-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-06 | 2019-07-10 | 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 | 2019-06-06 | 2019-07-10 | 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 | 2019-06-06 | 2019-07-10 | N |
