Deficiency Records for Prestige Gardens Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Prestige Gardens Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-29 | 2024-03-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-13 | 2024-01-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-13 | 2024-01-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-02 | 2023-03-27 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-02 | 2023-03-27 | 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 | 2023-03-02 | 2023-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-03-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-02 | 2023-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-02 | 2023-03-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-25 | 2022-12-07 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-11-25 | 2022-12-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-25 | 2022-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-19 | 2022-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-19 | 2022-08-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-07-19 | 2022-08-06 | Y |
| 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 | 2022-06-06 | 2022-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-06 | 2022-06-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-06 | 2022-06-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-06 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-06 | 2022-06-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-06 | 2022-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-06 | 2022-06-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-06 | 2022-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-06 | 2022-06-30 | 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 | 2022-06-06 | 2022-06-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-06-06 | 2022-06-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-06 | 2022-06-30 | 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 | 2022-06-30 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-06-06 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-06 | 2022-06-30 | N |
| Keep all essential equipment working safely. | Health | 2022-06-06 | 2022-06-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-06 | 2022-06-30 | 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 | 2022-05-31 | 2022-06-30 | 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 | 2022-05-31 | 2022-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-31 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-20 | 2022-02-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-18 | 2022-02-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-11 | 2022-02-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-11 | 2022-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-11 | 2022-02-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2022-02-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-23 | 2019-07-16 | 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 | 2019-05-23 | 2019-07-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-23 | 2019-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-23 | 2019-07-16 | 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 | 2019-05-23 | 2019-07-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-05-23 | 2019-06-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-05-23 | 2019-06-12 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2018-04-19 | 2018-06-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-04-19 | 2018-06-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-04-19 | 2018-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-19 | 2018-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-19 | 2018-06-14 | 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 | 2018-04-19 | 2018-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-19 | 2018-06-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-19 | 2018-06-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-19 | 2018-06-14 | 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 | 2018-04-19 | 2018-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-06-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-19 | 2018-06-14 | 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 | 2018-04-17 | 2018-06-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-17 | 2018-06-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-04-17 | 2018-06-14 | N |
