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Deficiency Records for Hamilton Grove
A list of the most recent deficiencies for Hamilton Grove. 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 Hamilton Grove. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-03 | 2024-08-09 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-05-06 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-21 | 2024-06-15 | N |
| Meet other general requirements. | Fire Safety | 2024-05-21 | 2024-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-21 | 2024-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-21 | 2024-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-06 | 2024-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-06 | 2024-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-06 | 2024-06-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-05-06 | 2024-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-06 | 2024-06-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-06 | 2024-06-07 | 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 | 2024-05-06 | 2024-06-07 | 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 | 2024-02-14 | 2024-03-22 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-26 | 2023-08-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-26 | 2023-07-24 | 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 | 2023-04-26 | 2023-07-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-26 | 2023-07-24 | 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 | 2023-04-26 | 2023-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-26 | 2023-07-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-04 | 2023-06-06 | 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 | 2023-04-04 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-04 | 2023-06-06 | 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 | 2023-04-04 | 2023-06-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-04 | 2023-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-04 | 2023-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-04 | 2023-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-04 | 2023-06-06 | 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 | 2023-04-04 | 2023-06-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-04 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-04 | 2023-06-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-06 | 2022-07-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-06 | 2022-07-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-06 | 2022-07-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-06 | 2022-07-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-26 | 2022-06-21 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-26 | 2022-06-21 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-26 | 2022-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-26 | 2022-06-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-04-26 | 2022-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-26 | 2022-06-21 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-26 | 2022-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
| 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 | 2022-04-26 | 2022-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-26 | 2022-06-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-26 | 2022-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Meet other general requirements. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-03 | N |
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