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Deficiency Records for Gracemore Nursing and Rehab

A list of the most recent deficiencies for Gracemore Nursing and Rehab. 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 Gracemore Nursing and Rehab. 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?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-21 2024-03-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-21 2024-03-04 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-01-20 2024-03-04 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 2024-01-20 2024-03-04 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-01-20 2024-03-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-20 2024-03-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-20 2024-03-04 N
Assess the resident when there is a significant change in condition Health 2022-03-17 2022-05-01 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 2022-03-17 2022-05-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-14 2019-12-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-11-14 2019-12-30 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 2019-11-14 2019-12-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-11-14 2019-12-30 N
Put firmly secured handrails on each side of hallways. Health 2019-11-14 2019-12-30 N
Establish roles under a Waiver declared by secretary. Fire Safety 2019-11-13 2019-12-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-13 2019-12-30 N

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