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Deficiency Records for Grandview Health Care Center
A list of the most recent deficiencies for Grandview Health Care 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 Grandview Health Care 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-06 | 2023-10-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-06 | 2023-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-06 | 2023-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-06 | 2023-10-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-09-06 | 2023-10-10 | 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 | 2023-09-06 | 2023-10-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-09-06 | 2023-10-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-05 | 2023-10-05 | 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 | 2023-09-05 | 2023-10-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-05 | 2023-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-05 | 2023-10-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-05 | 2023-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-11-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-04 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-17 | 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 | 2022-10-20 | 2022-11-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-20 | 2022-11-17 | Y |
| 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 | 2022-10-20 | 2022-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-11-17 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-04 | 2022-09-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-04 | 2022-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-09-04 | 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 | 2022-08-04 | 2022-09-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-04 | 2022-09-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-04 | 2022-09-04 | 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 | 2022-08-04 | 2022-09-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-04 | 2022-09-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-04 | 2022-09-04 | N |
| Report COVID19 data to residents and families. | Health | 2022-08-04 | 2022-09-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-04 | 2022-09-04 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-04 | 2022-09-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-02 | 2022-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-02 | 2022-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-02 | 2022-09-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-02 | 2022-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-08-10 | 2021-09-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-10 | 2021-09-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-08-10 | 2021-09-01 | 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 | 2021-08-10 | 2021-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-10 | 2021-09-01 | 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 | 2021-08-10 | 2021-09-01 | 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 | 2021-08-10 | 2021-08-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-10 | 2021-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-08-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-10 | 2021-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-10 | 2021-08-10 | N |
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