Deficiency Records for Ackert Park Skilled Nursing and Rehabilitation Cente
Updated as of March 01, 2024
A list of the most recent deficiencies for Ackert Park Skilled Nursing and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| 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 | 2023-07-13 | 2023-08-15 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-12-09 | 2023-01-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-09 | 2023-01-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-09 | 2023-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-09 | 2023-01-06 | 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 | 2022-12-09 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-09 | 2023-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-09 | 2023-01-06 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-09 | 2023-01-06 | N |
| Keep all essential equipment working safely. | Health | 2022-12-09 | 2023-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-09 | 2023-01-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-12 | 2021-11-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-12 | 2021-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-19 | 2019-10-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-19 | 2019-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-19 | 2019-10-03 | N |
| Keep all essential equipment working safely. | Health | 2019-08-19 | 2019-10-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-19 | 2019-10-03 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-11-06 | 2018-12-07 | 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 | 2018-11-06 | 2018-12-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-06 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-06 | 2018-12-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-06 | 2018-12-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-11-06 | 2018-12-07 | 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 | 2018-11-06 | 2018-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-06 | 2018-12-07 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-11-06 | 2018-12-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-06 | 2018-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-06 | 2018-12-07 | N |
| Have an externally vented heating system. | Fire Safety | 2018-11-06 | 2018-12-07 | N |
