A list of the most recent deficiencies for Judson Park. 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? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-24 | 2023-03-02 | 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 | 2023-01-24 | 2023-03-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-24 | 2023-03-02 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-17 | 2023-03-02 | 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 | 2023-01-17 | 2023-03-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-17 | 2023-03-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-17 | 2023-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-17 | 2023-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-17 | 2023-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-17 | 2023-03-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-16 | 2022-06-29 | Y |
| 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 | 2020-03-05 | 2020-04-23 | 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 | 2020-03-05 | 2020-04-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-03-03 | 2020-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-03 | 2020-04-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-03 | 2020-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-03 | 2020-04-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-03 | 2020-04-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-23 | 2019-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-23 | 2019-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-23 | 2019-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-23 | 2019-04-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-23 | 2019-04-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
