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🔎 Park Gardens Rehabilitation And Nursing Center L L C

Inspection Results


Inspection Overview

Park Gardens Rehabilitation And Nursing Center L L C has been cited for a total of 34 deficiencies since we began saving each survey.

In New York, the average facility has **24.69 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Protect each resident from the wrongful use of the resident's belongings or money.

Survey Date: 2023-07-26
Correction Date: 2023-09-11
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey Date: 2023-07-26
Correction Date: 2023-09-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-07-26
Correction Date: 2023-09-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-07-26
Correction Date: 2023-09-11
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2023-07-26
Correction Date: 2023-09-11
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2022-11-08
Correction Date: 2022-12-19
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2022-11-08
Correction Date: 2022-12-19
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2022-11-08
Correction Date: 2022-12-19
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey Date: 2021-04-21
Correction Date: 2021-05-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

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.

Survey Date: 2021-04-21
Correction Date: 2021-05-12
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2021-04-21
Correction Date: 2021-05-06
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey Date: 2021-04-21
Correction Date: 2021-05-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2021-04-21
Correction Date: 2021-05-28
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2021-04-21
Correction Date: 2021-05-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2021-04-21
Correction Date: 2021-05-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2021-04-21
Correction Date: 2021-05-12
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2020-06-12
Correction Date: 2020-07-31
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: F

The resident has the right to receive notices in a format and a language he or she understands.

Survey Date: 2019-02-11
Correction Date: 2019-04-05
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Keep residents' personal and medical records private and confidential.

Survey Date: 2019-02-11
Correction Date: 2019-03-15
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey Date: 2019-02-11
Correction Date: 2019-03-29
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Respond appropriately to all alleged violations.

Survey Date: 2019-02-11
Correction Date: 2019-03-31
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2019-02-11
Correction Date: 2019-03-22
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2019-02-11
Correction Date: 2019-04-05
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2019-02-11
Correction Date: 2019-03-29
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2019-02-11
Correction Date: 2019-04-05
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2019-02-11
Correction Date: 2019-04-05
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Provide activities to meet the interests and needs of each resident.

Survey Date: 2017-03-28
Correction Date: 2017-04-28
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Allow residents the right to participate in the planning or revision of care and treatment.

Survey Date: 2017-03-28
Correction Date: 2017-04-28
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: D

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

Survey Date: 2017-03-28
Correction Date: 2017-05-01
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Store, cook, and serve food in a safe and clean way.

Survey Date: 2017-03-28
Correction Date: 2017-04-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

Survey Date: 2017-03-28
Correction Date: 2017-05-05
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

Survey Date: 2017-03-28
Correction Date: 2017-05-05
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: D

Have a program that investigates, controls and keeps infection from spreading.

Survey Date: 2017-03-28
Correction Date: 2017-04-28
Category: Environmental Deficiencies
From Complaint: N

Scope/Severity: D

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

Survey Date: 2017-03-28
Correction Date: 2017-04-28
Category: Environmental Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**