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Deficiency Records for Gardenview Healthcare and Wellness Centre, LP

A list of the most recent deficiencies for Gardenview Healthcare and Wellness Centre, LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Gardenview Healthcare and Wellness Centre, LP. 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 2024-03-13 2024-04-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-13 2024-04-02 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-01-19 2024-02-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-19 2024-02-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-29 2024-01-26 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-29 2024-01-26 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 2023-12-29 2024-01-26 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-12-29 2024-01-26 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-12-29 2024-01-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-29 2024-01-26 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 2023-12-29 2024-01-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-29 2024-01-26 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 2023-12-29 2024-01-26 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 2023-12-29 2024-01-26 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 2023-12-29 2024-01-26 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-12-29 2024-01-26 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 2023-12-29 2024-01-26 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-29 2024-01-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-29 2024-01-26 N
Provide and implement an infection prevention and control program. Health 2023-12-29 2024-01-26 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-29 2024-01-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-12-29 2024-01-26 N
Have exits that are accessible at all times. Fire Safety 2024-01-02 2024-01-26 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-01-02 2024-01-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-02 2024-01-26 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-01-02 2024-01-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-02 2024-01-26 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-01-02 2024-01-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-02 2024-01-26 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-02 2024-01-26 N
Provide and implement an infection prevention and control program. Health 2023-10-18 2023-11-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-30 2023-08-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-25 2023-02-23 Y
Provide and implement an infection prevention and control program. Health 2022-09-20 2022-11-07 Y
List the names and contact information of those in the facility. Fire Safety 2021-07-29 2021-10-06 N
Provide emergency officials' contact information. Fire Safety 2021-07-29 2021-10-06 N
Implement emergency and standby power systems. Fire Safety 2021-07-29 2021-10-06 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-07-29 2021-10-06 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 2021-07-29 2021-10-06 N
Construct fire resistant interior walls. Fire Safety 2021-07-29 2021-10-06 N
Install an approved automatic sprinkler system. Fire Safety 2021-07-29 2021-10-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-29 2021-10-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-07-29 2021-10-06 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-07-30 2021-09-01 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 2021-07-30 2021-09-01 N
Keep residents' personal and medical records private and confidential. Health 2021-07-30 2021-09-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-30 2021-09-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-30 2021-09-01 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 2021-07-30 2021-09-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-30 2021-09-01 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 2021-07-30 2021-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-30 2021-09-01 N
Provide and implement an infection prevention and control program. Health 2021-07-30 2021-09-01 N
Install an approved automatic sprinkler system. Fire Safety 2019-07-11 2019-08-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-07-11 2019-08-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-07-11 2019-08-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-07-11 2019-08-21 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-07-01 2019-07-29 N
Respond appropriately to all alleged violations. Health 2019-07-01 2019-07-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-07-01 2019-07-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-07-01 2019-07-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-07-01 2019-07-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-07-01 2019-07-29 N
Observe each nurse aide's job performance and give regular training. Health 2019-07-01 2019-07-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-07-01 2019-07-29 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 2019-07-01 2019-07-29 N
Ensure that residents are free from significant medication errors. Health 2019-07-01 2019-07-29 N
Provide and implement an infection prevention and control program. Health 2019-07-01 2019-07-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-07-01 2019-07-29 N

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