A list of the most recent deficiencies for Foundation Park 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-02 | 2023-10-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-02 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-20 | 2023-07-28 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-19 | 2023-01-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-19 | 2023-01-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-19 | 2023-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2023-01-25 | 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 | 2022-12-19 | 2023-01-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-19 | 2023-01-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-19 | 2023-01-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-19 | 2023-01-25 | 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 | 2022-12-19 | 2023-01-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-19 | 2023-01-25 | 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 | 2022-12-19 | 2023-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-19 | 2023-01-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-19 | 2023-01-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-19 | 2023-01-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-12-19 | 2023-01-25 | 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 | 2022-12-13 | 2023-01-25 | 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 | 2022-12-13 | 2023-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-13 | 2023-01-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-25 | 2021-11-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-11-11 | Y |
| Post nurse staffing information every day. | Health | 2021-08-11 | 2021-09-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-15 | 2021-05-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-16 | 2020-02-21 | 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 | 2020-01-16 | 2020-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-21 | 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 | 2020-01-16 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-16 | 2020-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-16 | 2020-02-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-14 | 2020-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-14 | 2020-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-14 | 2020-02-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-14 | 2020-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-07 | 2018-12-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-11-07 | 2018-12-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2018-12-16 | 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 | 2018-11-07 | 2018-12-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-07 | 2018-12-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-11-07 | 2018-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2018-12-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-04 | 2018-12-16 | N |
