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Deficiency Records for Glen Haven Village
A list of the most recent deficiencies for Glen Haven Village. 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 Glen Haven Village. 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? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-18 | 2024-08-15 | 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 | 2024-07-18 | 2024-08-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-11 | 2024-08-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-11 | 2024-07-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-18 | 2024-07-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-18 | 2024-07-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-11 | 2024-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-15 | 2024-04-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-15 | 2023-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-11 | 2023-06-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-11 | 2023-06-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-11 | 2023-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-11 | 2023-06-11 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-05-11 | 2023-06-11 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-11 | 2023-06-11 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-15 | 2023-05-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-15 | 2023-05-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-15 | 2023-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-15 | 2023-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-15 | 2023-05-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-01-06 | 2022-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-06 | 2022-02-17 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-01-06 | 2022-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-17 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-04 | 2022-01-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-04 | 2022-01-21 | 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 | 2022-01-18 | 2022-01-19 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-04 | 2022-01-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-04 | 2022-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-04 | 2022-01-04 | N |
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