Deficiency Records for Park Village Healthcare and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Park Village Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-30 | 2023-10-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-30 | 2023-10-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-30 | 2023-10-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-30 | 2023-10-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-19 | 2023-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-10-31 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-01-18 | 2023-02-03 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-01-18 | 2023-02-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-08 | 2022-12-22 | 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 | 2022-11-10 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-10 | 2022-12-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-10 | 2022-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-10 | 2022-12-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-10 | 2022-12-16 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-06 | 2022-12-16 | Y |
| 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 | 2022-12-06 | 2022-12-16 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-08 | 2022-12-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-08 | 2022-11-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-03 | 2022-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-17 | 2022-03-11 | 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 | 2021-12-02 | 2022-01-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-12-02 | 2022-01-04 | Y |
| Install proper backup exit lighting. | Fire Safety | 2021-09-21 | 2021-10-22 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-21 | 2021-10-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-09-21 | 2021-10-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-21 | 2021-10-11 | 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 | 2021-09-21 | 2021-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-21 | 2021-10-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-04 | 2021-08-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-04 | 2021-08-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-04 | 2021-08-25 | 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 | 2021-08-04 | 2021-08-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-15 | 2019-12-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-11-15 | 2019-12-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-11-15 | 2019-12-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-11-15 | 2019-12-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-14 | 2019-12-27 | 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 | 2019-11-14 | 2019-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-11-14 | 2019-12-27 | N |
