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Deficiency Records for Grand Ji Vante
A list of the most recent deficiencies for Grand Ji Vante. 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 Grand Ji Vante. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-11 | 2024-08-10 | 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 | 2024-07-11 | 2024-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-08-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-10 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-07-11 | 2024-08-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-08-10 | Y |
| 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 | 2024-04-11 | 2024-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-11 | 2024-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-05-08 | 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 | 2024-04-09 | 2024-05-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-09 | 2024-05-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-09 | 2024-05-04 | 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 | 2024-04-09 | 2024-05-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-09 | 2024-05-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-09 | 2024-05-04 | 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 | 2024-04-09 | 2024-05-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-09 | 2024-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-09 | 2024-05-04 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-04-09 | 2024-05-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-04-09 | 2024-05-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-09 | 2024-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-09 | 2024-05-04 | 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 | 2024-04-09 | 2024-05-04 | Y |
| 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 | 2024-04-09 | 2024-05-04 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-04-09 | 2024-05-04 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Develop a communication plan. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Establish methods for sharing information. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-04-11 | 2024-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-11 | 2024-04-22 | 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 | 2024-04-11 | 2024-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-11 | 2024-04-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-11 | 2024-04-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-30 | 2023-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-30 | 2023-11-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-30 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-05-17 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-17 | 2023-02-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-17 | 2023-02-17 | 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 | 2023-01-17 | 2023-02-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-17 | 2023-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-17 | 2023-02-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-17 | 2023-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-17 | 2023-02-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-17 | 2023-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-17 | 2023-01-19 | 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 | 2023-01-17 | 2023-01-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-17 | 2023-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-17 | 2023-01-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-17 | 2023-01-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-17 | 2023-01-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-15 | 2021-07-09 | 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 | 2021-06-15 | 2021-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-15 | 2021-07-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-06-10 | 2021-06-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-10 | 2021-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-06-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-06-10 | 2021-06-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-15 | 2021-06-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-15 | 2021-06-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-15 | 2021-06-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-15 | 2021-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-06-15 | N |
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