CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Avamere Rehabilitation at Park West
View the most recent health deficiencies and inspection results for Avamere Rehabilitation at Park West. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avamere Rehabilitation at Park West. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-09 | 2026-04-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-29 | 2025-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-24 | 2025-10-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-29 | 2025-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-29 | 2025-09-19 | 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 | 2025-07-29 | 2025-09-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-29 | 2025-09-11 | 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 | 2025-07-29 | 2025-09-11 | N |
| 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 | 2025-07-29 | 2025-09-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-07-29 | 2025-09-11 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-29 | 2025-09-11 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-29 | 2025-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-29 | 2025-09-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-29 | 2025-09-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-07-29 | 2025-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-29 | 2025-09-11 | 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 | 2025-07-29 | 2025-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-29 | 2025-09-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-29 | 2025-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-29 | 2025-09-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-07-29 | 2025-09-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-29 | 2025-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-29 | 2025-09-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-29 | 2025-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-29 | 2025-09-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-29 | 2025-08-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-29 | 2025-08-27 | 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 | 2025-07-29 | 2025-08-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-07 | 2024-10-29 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-22 | 2024-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-22 | 2024-06-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-22 | 2024-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-22 | 2024-06-01 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-22 | 2024-06-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-22 | 2024-06-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-22 | 2024-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-22 | 2024-06-01 | 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 | 2024-04-22 | 2024-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-22 | 2024-06-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-22 | 2024-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-22 | 2024-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-22 | 2024-05-25 | 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 | 2024-04-22 | 2024-05-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-04-22 | 2024-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-06 | 2024-02-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-20 | 2023-11-30 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2023-10-20 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-10 | 2023-10-10 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-10 | 2023-08-18 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-10 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-03 | 2023-04-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Meet other general requirements. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-02-03 | 2023-03-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-03 | 2023-03-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-03 | 2023-03-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-03 | 2023-03-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-03 | 2023-03-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-03 | 2023-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-03 | 2023-03-03 | N |