A list of the most recent deficiencies for Rego Park 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-04-11 | 2023-07-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-11 | 2023-06-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-04-11 | 2023-06-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-04-11 | 2023-06-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-04-11 | 2023-06-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-11 | 2023-06-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-11 | 2023-06-16 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-04-11 | 2023-06-16 | 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 | 2023-04-11 | 2023-05-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-11 | 2023-05-16 | 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 | 2023-04-11 | 2023-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-11 | 2023-05-16 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-04-11 | 2023-05-16 | 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 | 2023-04-11 | 2023-05-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-28 | 2023-01-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-08 | 2021-06-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-08 | 2021-06-08 | 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 | 2021-04-08 | 2021-06-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2021-06-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-07 | 2021-06-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-09 | 2021-04-22 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-04-09 | 2021-04-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-08 | 2021-04-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-21 | 2019-11-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-21 | 2019-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-21 | 2019-11-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-21 | 2019-11-06 | 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 | 2019-10-21 | 2019-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-21 | 2019-11-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-21 | 2019-11-06 | N |
