Deficiency Records for Park Terrace Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Park Terrace Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-30 | 2024-03-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-12 | 2024-02-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-12 | 2024-02-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-28 | 2024-01-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-28 | 2024-01-29 | Y |
| 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 | 2024-01-18 | 2024-01-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-18 | 2024-01-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-03 | 2023-11-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-19 | 2023-09-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-25 | 2023-09-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-25 | 2023-09-20 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-25 | 2023-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-08-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-13 | 2023-03-16 | 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 | 2023-01-13 | 2023-03-16 | 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 | 2023-01-13 | 2023-03-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-13 | 2023-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-03-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-13 | 2023-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-03-16 | 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 | 2023-01-13 | 2023-03-16 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-01-13 | 2023-03-16 | 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 | 2023-01-13 | 2023-03-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-13 | 2023-03-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-01-13 | 2023-03-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-13 | 2023-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-13 | 2023-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-03-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-13 | 2023-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-03-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-09 | 2023-03-16 | 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 | 2023-01-09 | 2023-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-09 | 2023-03-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-01-13 | 2023-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-04 | 2023-01-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-24 | 2022-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-29 | 2022-01-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-29 | 2022-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-29 | 2022-01-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-24 | 2021-09-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-24 | 2021-09-09 | Y |
| 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 | 2021-05-20 | 2021-06-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-06 | 2020-03-11 | 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 | 2020-02-06 | 2020-03-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-06 | 2020-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-06 | 2020-03-11 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-06 | 2020-03-11 | 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 | 2020-02-06 | 2020-03-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-06 | 2020-03-11 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-06 | 2020-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-06 | 2020-03-11 | 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 | 2020-02-06 | 2020-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-05 | 2020-03-11 | 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 | 2020-02-05 | 2020-03-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-05 | 2020-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-05 | 2020-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-05 | 2020-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-05 | 2020-03-11 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-05 | 2020-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-05 | 2020-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-16 | 2019-02-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-16 | 2019-02-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-16 | 2019-02-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-16 | 2019-02-08 | 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 | 2019-01-16 | 2019-02-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-16 | 2019-02-08 | 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 | 2019-01-16 | 2019-02-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-16 | 2019-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-16 | 2019-02-08 | 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 | 2019-01-16 | 2019-02-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-16 | 2019-02-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-01-16 | 2019-02-08 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-01-16 | 2019-02-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-01-16 | 2019-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-02-08 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-16 | 2019-02-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-16 | 2019-02-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-16 | 2019-02-08 | 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 | 2019-01-13 | 2019-02-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-13 | 2019-02-08 | N |
