A list of the most recent deficiencies for French Park Care 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? |
|---|---|---|---|---|
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-25 | 2024-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-02 | 2024-01-20 | 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 | 2023-10-31 | 2023-11-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-31 | 2023-11-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-31 | 2023-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-31 | 2023-11-30 | 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 | 2023-10-31 | 2023-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-31 | 2023-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-31 | 2023-11-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-31 | 2023-11-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-31 | 2023-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-31 | 2023-11-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-31 | 2023-11-30 | 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 | 2023-10-31 | 2023-11-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-31 | 2023-11-30 | 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 | 2023-10-31 | 2023-11-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-31 | 2023-11-30 | 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 | 2023-10-31 | 2023-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-31 | 2023-11-30 | 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 | 2023-10-31 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-31 | 2023-11-30 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-31 | 2023-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-31 | 2023-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-31 | 2023-11-30 | N |
| Keep all essential equipment working safely. | Health | 2023-10-31 | 2023-11-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-10-31 | 2023-11-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-31 | 2023-11-30 | 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 | 2023-10-31 | 2023-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-31 | 2023-11-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-31 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-11-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-01 | 2023-11-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-31 | 2023-11-10 | 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 | 2023-10-04 | 2023-10-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-04 | 2023-10-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-19 | 2023-08-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-07 | Y |
| Provide appropriate foot care. | Health | 2023-07-19 | 2023-08-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-19 | 2023-08-07 | Y |
| 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 | 2023-07-19 | 2023-08-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-14 | 2023-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-04-10 | Y |
| 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 | 2023-03-24 | 2023-04-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-02 | 2023-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-01 | 2023-02-12 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-31 | 2023-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-31 | 2023-02-12 | Y |
| 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 | 2023-01-31 | 2023-02-12 | Y |
| Keep all essential equipment working safely. | Health | 2023-01-31 | 2023-02-12 | Y |
| Post nurse staffing information every day. | Health | 2023-01-05 | 2023-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-01-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-05 | 2023-01-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-05 | 2023-01-28 | N |
| Report COVID19 data to residents and families. | Health | 2023-01-05 | 2023-01-28 | 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 | 2023-01-05 | 2023-01-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-01-05 | 2023-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-21 | 2022-10-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-10-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-10-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-24 | 2022-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-22 | 2021-11-20 | 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 | 2021-10-22 | 2021-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-22 | 2021-11-20 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-22 | 2021-11-20 | 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 | 2021-10-22 | 2021-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-22 | 2021-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-22 | 2021-11-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-22 | 2021-11-20 | 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 | 2021-10-22 | 2021-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-22 | 2021-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-22 | 2021-11-20 | 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 | 2021-10-22 | 2021-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-11-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-22 | 2021-11-20 | 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 | 2021-10-22 | 2021-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-20 | N |
| Keep all essential equipment working safely. | Health | 2021-10-22 | 2021-11-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-11-04 | 2021-11-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-11-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-10-26 | 2021-11-15 | 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 | 2021-10-26 | 2021-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-10 | 2021-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-01 | 2021-06-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-01 | 2021-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-01 | 2021-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-06-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-11 | 2021-06-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-16 | 2021-04-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-23 | 2021-04-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-03 | 2021-04-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-03-03 | 2021-04-02 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-03 | 2021-04-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-03 | 2021-04-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-14 | 2020-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2020-02-06 | 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 | 2019-11-14 | 2020-02-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-11-14 | 2020-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-14 | 2020-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2020-02-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-14 | 2020-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-14 | 2020-01-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-14 | 2020-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-14 | 2020-01-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-14 | 2020-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2020-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2020-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-14 | 2020-01-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-14 | 2020-01-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-11-14 | 2020-01-06 | N |
| Post nurse staffing information every day. | Health | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-11-14 | 2020-01-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-11-14 | 2020-01-06 | 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 | 2019-11-14 | 2020-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-14 | 2020-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2020-01-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-14 | 2020-01-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-14 | 2020-01-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-11-14 | 2020-01-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-01-03 | N |
