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Deficiency Records for Greenfield Healthcare Center
A list of the most recent deficiencies for Greenfield Healthcare Center. 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 Greenfield Healthcare Center. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-03 | 2023-10-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-03 | 2023-10-21 | 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 | 2023-10-03 | 2023-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-03 | 2023-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2023-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-03 | 2023-10-21 | 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 | 2023-09-13 | 2023-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-13 | 2023-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-09-29 | 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 | 2023-09-13 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-13 | 2023-09-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-13 | 2023-09-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-07 | 2023-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-07 | 2023-07-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-07 | 2023-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-07 | 2023-07-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-13 | 2023-03-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-07 | 2023-02-24 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-07 | 2023-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-02-24 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-07 | 2023-02-24 | Y |
| Meet other general requirements. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-24 | 2022-09-12 | 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 | 2022-08-24 | 2022-09-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-08-24 | 2022-09-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-26 | 2022-09-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-26 | 2022-09-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-26 | 2022-09-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-26 | 2022-09-02 | 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 | 2022-07-26 | 2022-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-26 | 2022-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-26 | 2022-09-02 | 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 | 2022-07-26 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-26 | 2022-09-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-26 | 2022-09-02 | Y |
| 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. | Health | 2022-06-28 | 2022-07-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-28 | 2022-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-05-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-04-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-30 | 2022-04-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-04 | 2022-01-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-04 | 2022-01-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-10-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-05 | 2021-10-18 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-04 | 2021-06-03 | 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 | 2021-05-04 | 2021-06-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-03 | 2021-06-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-03 | 2021-06-02 | 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 | 2021-05-03 | 2021-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-03 | 2021-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-03 | 2021-06-02 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-05-03 | 2021-06-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-03 | 2021-06-02 | N |
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