A list of the most recent deficiencies for West Park Care Center LLC. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-08 | 2024-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-28 | 2023-12-29 | 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 | 2023-03-23 | 2023-04-20 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-30 | 2022-07-28 | 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 | 2022-06-30 | 2022-07-28 | 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 | 2022-06-30 | 2022-07-28 | 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 | 2022-06-30 | 2022-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-30 | 2022-07-28 | 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 | 2022-06-30 | 2022-07-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-30 | 2022-07-28 | 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 | 2022-06-30 | 2022-07-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-06-30 | 2022-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-28 | 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 | 2022-06-15 | 2022-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-15 | 2022-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2022-01-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-03 | 2021-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-06 | 2020-04-03 | 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 | 2020-02-06 | 2020-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-03 | 2020-04-03 | 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 | 2020-02-03 | 2020-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-03 | 2020-04-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-19 | 2019-01-18 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-19 | 2019-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-19 | 2019-01-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
