A list of the most recent deficiencies for Garden 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-05 | 2024-01-28 | Y |
| 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 | 2024-01-05 | 2024-01-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-05 | 2024-01-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-14 | 2024-01-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-23 | 2023-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-05-23 | 2023-06-19 | 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 | 2023-05-23 | 2023-06-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-23 | 2023-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-06-19 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-05-23 | 2023-06-19 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-23 | 2023-06-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-23 | 2023-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-23 | 2023-06-19 | N |
| Keep all essential equipment working safely. | Health | 2023-05-23 | 2023-06-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-23 | 2022-12-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-22 | 2022-03-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-22 | 2022-03-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-27 | 2021-05-26 | 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 | 2021-04-27 | 2021-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-27 | 2021-05-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-05-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-27 | 2021-05-26 | 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 | 2021-04-27 | 2021-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-27 | 2021-05-26 | 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 | 2021-04-27 | 2021-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-27 | 2021-05-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-27 | 2021-05-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-27 | 2021-05-26 | 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 | 2021-04-27 | 2021-05-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-27 | 2021-05-26 | 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 | 2021-04-27 | 2021-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-27 | 2021-05-26 | 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 | 2021-04-27 | 2021-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-27 | 2021-05-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-27 | 2021-05-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-12 | 2021-05-26 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-26 | 2021-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-26 | 2021-05-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-26 | 2021-05-12 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-04-26 | 2021-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-26 | 2021-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-26 | 2021-05-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-11 | 2019-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-23 | 2019-05-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-23 | 2019-05-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-23 | 2019-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-23 | 2019-05-13 | 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 | 2019-04-23 | 2019-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-23 | 2019-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-23 | 2019-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-23 | 2019-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-23 | 2019-05-13 | N |
