Deficiency Records for Heritage at Turner Park Health and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Heritage at Turner Park Health and Rehab. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-14 | 2023-05-26 | 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 | 2023-04-14 | 2023-05-26 | 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 | 2023-04-14 | 2023-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-14 | 2023-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-10 | 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 | 2022-12-29 | 2023-02-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-28 | 2022-11-25 | Y |
| 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 | 2022-10-28 | 2022-11-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-18 | 2022-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-08 | 2022-08-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-01 | 2022-07-05 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-10 | 2022-03-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-10 | 2022-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-10 | 2022-03-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-10 | 2022-03-25 | N |
| Have an externally vented heating system. | Fire Safety | 2022-02-10 | 2022-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-10 | 2022-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-10 | 2022-03-07 | 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 | 2022-02-10 | 2022-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-10 | 2022-03-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-02-10 | 2022-03-07 | N |
| Have policies on smoking. | Health | 2022-02-10 | 2022-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-05 | 2019-10-14 | 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 | 2019-09-05 | 2019-10-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-09-05 | 2019-10-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-06 | 2019-10-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-06 | 2019-10-05 | 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 | 2019-09-06 | 2019-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-06 | 2019-10-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-06 | 2019-10-05 | 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 | 2019-09-06 | 2019-10-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-06 | 2019-10-05 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-09-06 | 2019-10-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-06 | 2019-09-07 | N |
