Deficiency Records for Park Highlands Nursing and Rehabilitation Center
Updated as of October 01, 2021
This is not the most recent data for Park Highlands Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Park Highlands Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-01-29 | 2021-02-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-23 | 2020-10-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-23 | 2020-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-23 | 2020-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-08-21 | 2019-08-21 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-07 | 2019-03-15 | N |
| Keep all essential equipment working safely. | Health | 2019-02-07 | 2019-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-07 | 2019-03-08 | 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 | 2019-02-07 | 2019-03-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-07 | 2019-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-07 | 2019-03-08 | 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 | 2019-02-07 | 2019-03-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-07 | 2019-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-02-07 | 2019-03-04 | 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 | 2019-02-07 | 2019-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-07 | 2019-02-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-07 | 2019-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-07 | 2019-02-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-21 | 2018-03-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-23 | 2018-03-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-02-23 | 2018-03-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-23 | 2018-03-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-23 | 2018-03-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-23 | 2018-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-23 | 2018-03-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-23 | 2018-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-23 | 2018-03-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-23 | 2018-03-30 | 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 | 2018-02-23 | 2018-03-30 | 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 | 2018-02-23 | 2018-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-23 | 2018-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-23 | 2018-03-30 | N |
| Keep all essential equipment working safely. | Health | 2018-02-23 | 2018-03-30 | 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 | 2017-02-07 | 2017-03-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-07 | 2017-03-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-09 | 2017-03-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-03-17 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-02-09 | 2017-03-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-09 | 2017-03-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-09 | 2017-03-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-09 | 2017-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-07 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-02-07 | Not Fixed | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-15 | Not Fixed | N |
