A list of the most recent deficiencies for Park View Haven Nursing Home. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-22 | 2024-03-25 | 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 | 2024-01-22 | 2024-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-22 | 2024-03-19 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-01-22 | 2024-02-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-22 | 2024-02-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-02-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-17 | 2024-01-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-01 | 2023-01-20 | 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 | 2022-12-01 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-01 | 2023-01-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-01 | 2023-01-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-20 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-29 | 2022-12-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-29 | 2022-12-19 | 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 | 2022-11-29 | 2022-12-16 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-29 | 2022-12-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-29 | 2022-12-09 | N |
| Meet other general requirements. | Fire Safety | 2022-11-29 | 2022-11-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-30 | 2022-09-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-03 | 2021-10-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-03 | 2021-10-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-03 | 2021-10-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-03 | 2021-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-03 | 2021-10-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-03 | 2021-10-02 | 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 | 2021-08-03 | 2021-10-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-08-03 | 2021-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-03 | 2021-10-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-08-03 | 2021-10-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-03 | 2021-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-03 | 2021-10-02 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-02 | 2021-08-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-02 | 2021-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-02 | 2021-08-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-02 | 2021-08-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-08-02 | 2021-08-02 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-08-02 | 2021-08-02 | N |
