A list of the most recent deficiencies for Park Manor of South Belt. 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? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-03 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-03-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-26 | 2023-03-24 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-02-26 | 2023-03-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-26 | 2023-03-24 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-01 | 2023-03-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-03-01 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-24 | 2022-03-02 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-15 | 2022-01-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-15 | 2022-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-15 | 2022-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-16 | 2022-01-05 | 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 | 2021-12-16 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-08 | 2021-10-05 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-08 | 2021-10-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-09-08 | 2021-10-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-30 | 2020-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-30 | 2020-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-30 | 2020-10-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-09-30 | 2020-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-30 | 2020-10-30 | 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 | 2020-09-30 | 2020-10-30 | N |
| Post nurse staffing information every day. | Health | 2020-09-30 | 2020-10-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-30 | 2020-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-30 | 2020-10-30 | 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 | 2020-09-30 | 2020-10-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-09-30 | 2020-10-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-30 | 2020-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-28 | 2020-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-28 | 2020-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-28 | 2020-10-20 | N |
