A list of the most recent deficiencies for Judson Park 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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-01-12 | 2023-02-25 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-01-12 | 2023-02-25 | 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 | 2023-01-12 | 2023-02-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-12 | 2023-02-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-12 | 2023-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-12 | 2023-02-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-12 | 2023-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-12 | 2023-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-02-25 | 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 | 2023-01-12 | 2023-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-12 | 2023-02-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-12 | 2023-02-25 | 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 | 2023-01-12 | 2023-02-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-12 | 2023-02-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-12 | 2023-02-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-12 | 2023-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-25 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-12 | 2023-02-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-01-12 | 2023-02-25 | N |
| Meet other general requirements. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-01-05 | 2023-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-27 | 2021-12-08 | 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 | 2021-08-17 | 2021-08-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-03-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-01-09 | 2020-03-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-09 | 2020-03-02 | 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 | 2020-01-16 | 2020-02-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-16 | 2020-02-20 | 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 | 2020-01-16 | 2020-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-16 | 2020-02-20 | 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 | 2020-01-16 | 2020-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-16 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-16 | 2020-02-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-01-16 | 2020-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-09 | 2020-02-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-09 | 2020-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-09 | 2020-02-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-09 | 2020-02-02 | 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 | 2018-11-07 | 2018-12-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-07 | 2018-12-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-07 | 2018-12-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-07 | 2018-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-07 | 2018-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-11-07 | 2018-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-07 | 2018-12-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-07 | 2018-12-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-11-07 | 2018-12-20 | 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 | 2018-11-07 | 2018-12-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
