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Deficiency Records for Greenleaf Health Campus
A list of the most recent deficiencies for Greenleaf Health Campus. 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 Greenleaf Health Campus. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-11-15 | 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 | 2023-10-11 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-08 | 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 | 2023-08-09 | 2023-09-08 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-08-30 | 2022-10-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-08-30 | 2022-10-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-30 | 2022-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-30 | 2022-10-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-30 | 2022-10-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-07-19 | 2022-07-28 | N |
| Dispose of garbage and refuse properly. | Health | 2022-07-19 | 2022-07-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-19 | 2022-07-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-18 | 2022-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-18 | 2022-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-02-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-04 | 2019-04-26 | N |
| Meet other general requirements. | Fire Safety | 2019-04-04 | 2019-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-04 | 2019-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-04 | 2019-04-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-04 | 2019-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-04 | 2019-04-26 | 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 | 2019-03-11 | 2019-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-11 | 2019-04-10 | 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 | 2019-03-11 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-11 | 2019-04-10 | 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 | 2019-03-11 | 2019-04-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-03-11 | 2019-04-10 | 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 | 2019-03-11 | 2019-04-10 | 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 | 2019-03-11 | 2019-04-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-11 | 2019-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-11 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-11 | 2019-04-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-11 | 2019-04-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-11 | 2019-04-10 | N |
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