A list of the most recent deficiencies for Garden Park Health Care 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-07 | 2023-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-07 | 2023-02-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-07 | 2023-02-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-21 | 2023-02-02 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-07 | 2023-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-07 | 2023-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-07 | 2023-02-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-09-21 | 2022-11-23 | 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 | 2022-09-21 | 2022-11-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-21 | 2022-11-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-21 | 2022-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-21 | 2022-11-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-21 | 2022-11-23 | 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 | 2022-09-21 | 2022-11-23 | 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 | 2022-09-21 | 2022-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-11-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-21 | 2022-11-23 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-07 | 2022-11-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-07 | 2022-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-07 | 2022-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-07 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-07 | 2022-11-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-02 | 2022-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-02 | 2022-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-02 | 2022-03-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-02 | 2022-03-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-02 | 2022-03-28 | 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 | 2022-03-02 | 2022-03-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-02 | 2022-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-19 | 2022-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-19 | 2022-03-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-19 | 2022-03-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-19 | 2022-03-28 | 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 | 2022-01-19 | 2022-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-29 | 2022-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-29 | 2022-03-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-29 | 2022-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-03-28 | 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 | 2021-12-08 | 2022-03-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-08 | 2022-03-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-08 | 2022-03-28 | 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 | 2021-08-24 | 2021-09-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-24 | 2021-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-09-15 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-18 | 2021-08-11 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-18 | 2021-08-11 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-18 | 2021-08-11 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-03-18 | 2021-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-19 | 2021-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-01 | 2021-06-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-01 | 2021-06-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-19 | 2021-06-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-01 | 2021-06-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-01 | 2021-06-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-18 | 2021-04-30 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-12-30 | 2020-03-20 | 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 | 2019-12-30 | 2020-03-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-30 | 2020-03-20 | 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 | 2019-12-30 | 2020-03-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-12-30 | 2020-03-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-30 | 2020-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-30 | 2020-03-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-30 | 2020-03-20 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-30 | 2020-03-20 | 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 | 2019-12-30 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-30 | 2020-03-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-30 | 2020-03-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-30 | 2020-03-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-26 | 2020-03-20 | 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 | 2019-12-26 | 2020-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-26 | 2020-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-26 | 2020-03-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-26 | 2020-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-26 | 2020-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-26 | 2020-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-26 | 2020-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-26 | 2020-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-26 | 2020-02-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-26 | 2020-02-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-25 | 2018-12-14 | 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 | 2018-10-25 | 2018-12-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-25 | 2018-12-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-25 | 2018-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-25 | 2018-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-25 | 2018-12-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-25 | 2018-12-14 | N |
| Provide or obtain dental services for each resident. | Health | 2018-10-25 | 2018-12-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-10-25 | 2018-12-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-25 | 2018-12-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-25 | 2018-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-22 | 2018-12-14 | N |
