A list of the most recent deficiencies for Battlefield Park Healthcare 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-08-17 | 2021-09-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-17 | 2021-09-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-17 | 2021-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-17 | 2021-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-17 | 2021-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-17 | 2021-09-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-17 | 2021-09-29 | N |
| Post nurse staffing information every day. | Health | 2021-08-17 | 2021-09-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-17 | 2021-09-29 | N |
| Dispose of garbage and refuse properly. | Health | 2021-08-17 | 2021-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-23 | 2021-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-03 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-03 | 2019-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-03 | 2019-12-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-03 | 2019-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-03 | 2019-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-17 | 2019-11-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-09-17 | 2019-11-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-17 | 2019-10-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-17 | 2019-10-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-17 | 2019-10-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-17 | 2019-10-21 | 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 | 2019-09-17 | 2019-10-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-17 | 2019-10-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-17 | 2019-10-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-17 | 2019-10-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-17 | 2019-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-17 | 2019-10-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-17 | 2019-10-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-17 | 2019-10-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-17 | 2019-10-21 | 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 | 2019-09-17 | 2019-10-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-17 | 2019-10-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-09-17 | 2019-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-17 | 2019-10-21 | 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 | 2019-09-17 | 2019-10-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-17 | 2019-10-21 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-09-17 | 2019-10-21 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-09-17 | 2019-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-17 | 2019-10-21 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2019-09-17 | 2019-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-17 | 2019-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-17 | 2019-10-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-17 | 2019-10-21 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-09-17 | 2019-10-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-17 | 2019-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-17 | 2019-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-29 | 2018-05-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-29 | 2018-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-29 | 2018-05-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-03-29 | 2018-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-29 | 2018-05-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-29 | 2018-05-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-29 | 2018-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-29 | 2018-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-29 | 2018-05-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-29 | 2018-05-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-29 | 2018-05-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-29 | 2018-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-29 | 2018-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-29 | 2018-05-10 | N |
| 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 | 2018-03-29 | 2018-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-29 | 2018-05-10 | 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 | 2018-03-29 | 2018-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-03-29 | 2018-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-29 | 2018-05-10 | 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 | 2018-03-29 | 2018-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-29 | 2018-05-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-29 | 2018-05-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-29 | 2018-05-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-29 | 2018-05-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-03-29 | 2018-05-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-03-29 | 2018-05-10 | N |
