A list of the most recent deficiencies for Parkway Health Center. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-05 | 2023-02-10 | Y |
| 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 | 2023-01-05 | 2023-02-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-05 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-10 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-05 | 2023-02-10 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-01-05 | 2023-02-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-03 | 2022-11-11 | 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 | 2022-10-03 | 2022-11-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-03 | 2022-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-03 | 2022-11-11 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-03 | 2022-11-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-03 | 2022-11-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-03 | 2022-11-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-03 | 2022-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-03 | 2022-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-03 | 2022-11-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-03 | 2022-11-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-03 | 2022-11-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-03 | 2022-11-11 | 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 | 2022-10-03 | 2022-11-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-03 | 2022-11-11 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-10-03 | 2022-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-03 | 2022-11-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-03 | 2022-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-03 | 2022-11-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-03 | 2022-11-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-03 | 2022-11-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-03 | 2022-11-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-03 | 2022-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-03 | 2022-11-11 | 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 | 2022-10-03 | 2022-11-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-10-03 | 2022-11-11 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-03 | 2022-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-03 | 2022-11-11 | 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 | 2022-10-03 | 2022-11-11 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-03 | 2022-11-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-03 | 2022-11-11 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-03 | 2022-11-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-03 | 2022-11-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-03 | 2022-11-11 | 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 | 2022-10-03 | 2022-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-21 | 2021-09-30 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-21 | 2021-09-30 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-21 | 2021-09-30 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-21 | 2021-09-30 | 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 | 2021-07-21 | 2021-09-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-21 | 2021-09-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-07-21 | 2021-09-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-21 | 2021-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-21 | 2021-09-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-21 | 2021-09-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-21 | 2021-09-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-21 | 2021-09-30 | 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 | 2021-07-21 | 2021-09-30 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-07-21 | 2021-09-30 | Y |
| Post nurse staffing information every day. | Health | 2021-07-21 | 2021-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-21 | 2021-09-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-21 | 2021-09-30 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-07-21 | 2021-09-30 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-21 | 2021-09-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-21 | 2021-09-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-07-21 | 2021-09-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-21 | 2021-09-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-21 | 2021-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-09-30 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-07-21 | 2021-09-30 | Y |
| Report COVID19 data to residents and families. | Health | 2021-07-21 | 2021-09-30 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-07-21 | 2021-09-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-13 | 2021-07-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-04 | 2019-05-09 | 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 | 2019-04-04 | 2019-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-04 | 2019-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-04 | 2019-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-04 | 2019-05-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-04 | 2019-05-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-04 | 2019-05-09 | 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 | 2019-04-04 | 2019-05-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-04 | 2019-05-09 | 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 | 2019-04-04 | 2019-05-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-04 | 2019-05-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-04 | 2019-05-09 | 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 | 2019-04-04 | 2019-05-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-04-04 | 2019-05-09 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-04-04 | 2019-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-09 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-04 | 2019-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-04 | 2019-05-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-04 | 2019-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-04 | 2019-05-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-03 | 2019-04-22 | N |
