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Deficiency Records for Park Avenue Healthcare and Wellness Center
View the most recent health deficiencies and inspection results for Park Avenue Healthcare and Wellness Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Park Avenue Healthcare and Wellness Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-05 | 2026-02-24 | 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 | 2026-02-05 | 2026-02-24 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2026-02-05 | 2026-02-24 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2026-02-05 | 2026-02-24 | 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 | 2025-12-09 | 2025-12-31 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-12-09 | 2025-12-29 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2025-12-09 | 2025-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-11 | 2025-12-29 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-07-25 | 2025-08-17 | N |
| Keep all essential equipment working safely. | Health | 2025-07-25 | 2025-08-14 | 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 | 2025-07-25 | 2025-08-14 | 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 | 2025-07-25 | 2025-08-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-25 | 2025-08-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-07-25 | 2025-08-14 | 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 | 2025-07-25 | 2025-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-25 | 2025-08-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-25 | 2025-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-25 | 2025-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-25 | 2025-08-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-07-25 | 2025-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-25 | 2025-08-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-25 | 2025-08-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-25 | 2025-08-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-25 | 2025-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-25 | 2025-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-25 | 2025-08-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-25 | 2025-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-03 | 2025-06-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-03 | 2025-06-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-03 | 2025-06-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-03 | 2025-06-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-03 | 2025-06-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-16 | 2025-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-16 | 2025-05-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-16 | 2025-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-16 | 2025-05-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-28 | 2025-04-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-28 | 2025-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-28 | 2025-04-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-10 | 2025-03-27 | Y |
| 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 | 2025-03-10 | 2025-03-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-10 | 2025-03-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-29 | 2025-02-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-29 | 2025-02-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-02-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-16 | 2025-02-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-16 | 2025-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-26 | 2024-12-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-18 | 2024-10-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-11 | 2024-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-08-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-11 | 2024-08-08 | 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 | 2024-07-11 | 2024-08-08 | 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 | 2024-07-11 | 2024-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-02 | 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 | 2024-07-11 | 2024-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-02 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-11 | 2024-08-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-11 | 2024-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-11 | 2024-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-11 | 2024-08-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-11 | 2024-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-11 | 2024-07-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-11 | 2024-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-07-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-11 | 2024-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-18 | 2024-07-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-06 | 2024-06-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-13 | 2024-05-15 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-13 | 2024-05-15 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-05-13 | 2024-05-15 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-05-13 | 2024-05-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-18 | 2024-05-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-18 | 2024-05-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-18 | 2024-05-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-15 | 2024-03-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | 2024-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-08 | 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 | 2023-11-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-31 | 2023-11-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-15 | 2023-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-10-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-15 | 2023-10-15 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-28 | 2023-10-15 | 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 | 2023-09-15 | 2023-10-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-15 | 2023-10-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-15 | 2023-10-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-15 | 2023-10-15 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-15 | 2023-10-15 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-15 | 2023-10-15 | Y |
| Help the resident make transportation arrangements to and from radiology services. | Health | 2023-09-15 | 2023-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-10-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-28 | 2023-10-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-28 | 2023-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-28 | 2023-10-15 | Y |
| 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 | 2023-08-28 | 2023-10-15 | 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 | 2023-08-28 | 2023-10-15 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-08-28 | 2023-10-15 | Y |
| 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 | 2023-08-28 | 2023-10-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-28 | 2023-10-15 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-09-15 | 2023-10-15 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2023-09-15 | 2023-10-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-21 | 2023-10-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-15 | 2023-10-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-03 | 2023-09-25 | 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 | 2023-08-03 | 2023-09-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-03 | 2023-09-25 | Y |
| 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 | 2023-08-03 | 2023-09-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-27 | 2023-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-27 | 2023-08-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-21 | 2023-08-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-19 | 2023-08-08 | 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 | 2021-05-24 | 2021-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-24 | 2021-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-24 | 2021-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-24 | 2021-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-24 | 2021-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-24 | 2021-07-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-24 | 2021-07-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-24 | 2021-07-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-24 | 2021-07-02 | 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 | 2021-05-24 | 2021-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-24 | 2021-07-02 | 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 | 2021-05-24 | 2021-07-02 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-05-24 | 2021-07-02 | 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 | 2021-05-24 | 2021-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-24 | 2021-07-02 | 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 | 2021-05-24 | 2021-07-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-24 | 2021-07-02 | 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 | 2021-05-24 | 2021-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-24 | 2021-07-02 | 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 | 2021-05-24 | 2021-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-24 | 2021-07-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-24 | 2021-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-24 | 2021-07-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-24 | 2021-07-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-24 | 2021-07-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-05-24 | 2021-07-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-24 | 2021-07-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-24 | 2021-07-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-24 | 2021-07-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-24 | 2021-07-02 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-05-24 | 2021-06-18 | 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 | 2021-05-24 | 2021-06-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-24 | 2021-06-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-24 | 2021-06-18 | N |