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Deficiency Records for Grove at The Lake,the
A list of the most recent deficiencies for Grove at The Lake,the. 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 Grove at The Lake,the. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-01 | 2024-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-01 | 2024-08-07 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-08-01 | 2024-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-01 | 2024-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-05 | 2024-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-08-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Use approved construction type or materials. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-01 | 2024-08-06 | 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 | 2024-08-01 | 2024-08-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-01 | 2024-08-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-01 | 2024-08-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-19 | 2024-07-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-19 | 2024-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-19 | 2024-07-23 | 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 | 2024-07-19 | 2024-07-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-19 | 2024-07-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-19 | 2024-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-07-23 | 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 | 2024-07-19 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-15 | 2024-07-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-15 | 2024-07-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-08 | 2024-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-08 | 2024-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-28 | 2023-12-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-27 | 2023-10-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-27 | 2023-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-27 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-09-27 | 2023-09-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-09-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-27 | 2023-09-29 | 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 | 2023-09-27 | 2023-09-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-27 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-03 | 2023-08-04 | Y |
| 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 | 2023-08-03 | 2023-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-08-04 | Y |
| 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 | 2023-06-09 | 2023-06-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-17 | 2023-05-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-08 | 2023-05-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-03-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-20 | 2022-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-09 | 2022-11-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-19 | 2022-10-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-19 | 2022-10-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-19 | 2022-10-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-19 | 2022-10-20 | 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 | 2022-10-19 | 2022-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-19 | 2022-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-19 | 2022-10-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-19 | 2022-08-29 | Y |
| 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 | 2022-06-01 | 2022-06-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-03-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-16 | 2022-03-02 | Y |
| Keep all essential equipment working safely. | Health | 2022-02-16 | 2022-03-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-11 | 2022-01-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-11 | 2022-01-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-03 | 2021-12-04 | Y |
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