A list of the most recent deficiencies for Hyde Park Health Center. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-11-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-30 | 2023-02-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-15 | 2022-09-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-06 | 2022-07-26 | 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 | 2022-06-06 | 2022-07-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-06 | 2022-07-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-06 | 2022-07-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-06 | 2022-07-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-06 | 2022-07-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-06 | 2022-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-06 | 2022-07-26 | 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 | 2022-06-06 | 2022-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-06 | 2022-07-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-06 | 2022-07-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-06 | 2022-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-06 | 2022-07-26 | 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 | 2022-06-06 | 2022-07-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-06-06 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-06 | 2022-07-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-06-06 | 2022-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-06 | 2022-07-26 | N |
| Keep all essential equipment working safely. | Health | 2022-06-06 | 2022-07-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-06 | 2022-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-06 | 2022-07-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-06 | 2022-07-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-06 | 2022-07-26 | Y |
| 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 | 2022-06-06 | 2022-07-26 | Y |
| 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 | 2022-07-11 | 2022-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-11 | 2022-07-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-20 | 2022-07-26 | Y |
| 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 | 2022-04-20 | 2022-07-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-24 | 2022-07-26 | 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 | 2022-05-24 | 2022-07-26 | 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 | 2022-05-24 | 2022-07-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-24 | 2022-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-24 | 2022-07-26 | 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 | 2022-04-20 | 2022-06-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-20 | 2022-06-06 | Y |
| Report COVID19 data to residents and families. | Health | 2022-04-20 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-27 | 2022-03-10 | Y |
| Provide appropriate foot care. | Health | 2022-01-27 | 2022-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-16 | 2019-10-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-16 | 2019-10-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-16 | 2019-10-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-16 | 2019-10-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-16 | 2019-10-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-16 | 2019-10-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-09-16 | 2019-10-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-16 | 2019-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-16 | 2019-10-24 | 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 | 2019-09-16 | 2019-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-16 | 2019-10-24 | N |
| 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 | 2019-09-16 | 2019-10-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-16 | 2019-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-16 | 2019-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-16 | 2019-10-24 | 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 | 2019-09-16 | 2019-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-16 | 2019-10-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-10 | 2019-10-24 | 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 | 2019-09-10 | 2019-10-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-10 | 2019-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-10 | 2019-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-10-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-10 | 2019-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-10 | 2019-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-10 | 2019-10-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-30 | 2018-12-20 | 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 | 2018-10-30 | 2018-12-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-11-23 | 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 | 2018-11-01 | 2018-11-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-01 | 2018-11-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-01 | 2018-11-23 | 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 | 2018-11-01 | 2018-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-11-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-01 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-11-23 | N |
