A list of the most recent deficiencies for Park Shore. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-10-09 | 2023-11-25 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Establish methods for sharing information. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-16 | 2023-08-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-16 | 2023-07-24 | 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 | 2023-06-16 | 2023-07-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-16 | 2023-07-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-16 | 2023-07-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-16 | 2023-07-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-16 | 2023-07-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-16 | 2023-07-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-16 | 2023-07-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-16 | 2023-07-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-16 | 2023-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-16 | 2023-07-24 | 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 | 2023-06-16 | 2023-07-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-16 | 2023-07-24 | N |
| Provide appropriate foot care. | Health | 2023-06-16 | 2023-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-24 | 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 | 2023-06-16 | 2023-07-24 | 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 | 2023-06-16 | 2023-07-24 | N |
| 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 | 2023-06-16 | 2023-07-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-16 | 2023-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-07-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-06-16 | 2023-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-16 | 2023-07-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-16 | 2023-07-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-06-16 | 2023-07-20 | 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 | 2022-04-27 | 2022-06-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-27 | 2022-06-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-27 | 2022-06-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-27 | 2022-06-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-27 | 2022-06-02 | 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 | 2022-04-27 | 2022-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-06-02 | 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 | 2022-04-27 | 2022-06-02 | N |
| Post nurse staffing information every day. | Health | 2022-04-27 | 2022-06-02 | 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 | 2022-04-27 | 2022-06-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-04-27 | 2022-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-06-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-04-27 | 2022-06-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-21 | 2022-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-21 | 2022-05-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-21 | 2022-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-21 | 2022-05-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-20 | 2022-01-17 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-29 | 2019-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-29 | 2019-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-05-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-29 | 2019-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-23 | 2019-05-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-23 | 2019-05-10 | N |
