A list of the most recent deficiencies for Temple Park Convalescent Hosp. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-07 | 2023-11-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-03 | 2023-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-06-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-12 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-06 | 2023-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-02 | 2022-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-09-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-01 | 2022-08-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-08-01 | 2022-08-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-01 | 2022-08-12 | Y |
| 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 | 2022-08-01 | 2022-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-07-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-15 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-14 | Y |
| 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-10 | 2021-07-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-06-10 | 2021-07-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-10 | 2021-07-07 | 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 | 2019-10-24 | 2019-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-24 | 2019-11-26 | 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 | 2019-10-24 | 2019-11-26 | 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 | 2019-10-24 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-24 | 2019-11-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-10-24 | 2019-11-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-01 | 2019-11-22 | 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 | 2018-10-28 | 2018-11-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-28 | 2018-11-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-28 | 2018-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-28 | 2018-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-28 | 2018-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-28 | 2018-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-28 | 2018-11-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-28 | 2018-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-28 | 2018-11-29 | 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 | 2018-10-28 | 2018-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-28 | 2018-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-28 | 2018-11-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-28 | 2018-11-29 | 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 | 2018-10-28 | 2018-11-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-28 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-28 | 2018-11-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-28 | 2018-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-28 | 2018-11-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-11-01 | 2018-11-28 | 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 | 2018-11-01 | 2018-11-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-01 | 2018-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | Not Fixed | 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 | 2023-02-08 | Not Fixed | N |
