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Deficiency Records for Medical Park West Rehabilitation and Skilled Care
View the most recent health deficiencies and inspection results for Medical Park West Rehabilitation and Skilled Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Medical Park West Rehabilitation and Skilled Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2026-01-13 | 2026-02-09 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-07-24 | 2025-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-24 | 2025-08-18 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-07-24 | 2025-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-19 | 2025-04-09 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-30 | 2025-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-30 | 2025-02-27 | 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 | 2025-01-30 | 2025-02-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-01-30 | 2025-02-27 | 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 | 2025-01-30 | 2025-02-27 | 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 | 2025-01-30 | 2025-02-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-30 | 2025-02-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-01-30 | 2025-02-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-30 | 2025-02-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-01-30 | 2025-02-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-30 | 2025-02-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-30 | 2025-02-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-01-30 | 2025-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-24 | 2025-01-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-26 | 2024-05-15 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-26 | 2024-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-26 | 2024-05-15 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-07 | 2024-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-07 | 2024-03-04 | 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 | 2024-01-18 | 2024-01-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-07 | 2023-12-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-07 | 2023-12-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-07 | 2023-12-06 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-07 | 2023-12-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-07 | 2023-12-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-11-07 | 2023-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-12-06 | 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 (including nights and weekends) and emergencies. | Health | 2023-11-07 | 2023-12-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-07 | 2023-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-07 | 2023-12-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-07 | 2023-12-06 | 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 | 2023-11-07 | 2023-12-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-07 | 2023-12-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-07 | 2023-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-12-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-07 | 2023-12-06 | 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 | 2023-11-07 | 2023-12-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-07 | 2023-12-06 | 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 | 2023-11-07 | 2023-12-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-08 | 2023-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-04 | 2022-11-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-04 | 2022-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-04 | 2022-11-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-04 | 2022-11-08 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-04 | 2022-11-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-04 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-04 | 2022-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-04 | 2022-11-08 | N |