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Deficiency Records for Garden View Care Center
A list of the most recent deficiencies for Garden View 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 Garden View 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-05-03 | Y |
| 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 | 2024-04-05 | 2024-05-03 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-04-05 | 2024-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-05 | 2024-05-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-02 | 2024-03-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-02 | 2024-03-02 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-02 | 2024-03-02 | 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 | 2024-02-02 | 2024-03-02 | 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 | 2024-02-02 | 2024-03-02 | Y |
| Post nurse staffing information every day. | Health | 2024-02-02 | 2024-03-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-08 | 2023-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-08 | 2023-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-08 | 2023-09-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-08 | 2023-09-08 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-20 | 2023-07-21 | 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 | 2023-07-20 | 2023-07-21 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-07-21 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-03 | 2023-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-03 | 2023-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-03 | 2023-06-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-03 | 2023-06-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-03 | 2023-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-03 | 2023-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-05-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-27 | 2023-05-30 | 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 | 2023-04-27 | 2023-05-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-27 | 2023-05-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-27 | 2023-05-30 | 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 | 2023-04-27 | 2023-05-30 | 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 | 2023-04-27 | 2023-05-30 | 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 | 2023-04-27 | 2023-05-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-27 | 2023-05-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-27 | 2023-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-27 | 2023-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-03 | 2023-05-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-03 | 2023-05-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-03 | 2023-05-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-03 | 2023-05-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-03 | 2023-05-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-03 | 2023-05-09 | 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 | 2023-02-07 | 2023-03-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-07 | 2023-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-07 | 2023-03-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-05 | 2022-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-05 | 2022-11-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-10-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-10-20 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-20 | 2021-08-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-15 | 2021-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-15 | 2021-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-15 | 2021-08-13 | 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 | 2021-07-15 | 2021-08-13 | N |
| 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 | 2021-07-15 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-13 | 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 | 2021-07-20 | 2021-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-20 | 2021-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-20 | 2021-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-20 | 2021-07-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-20 | 2021-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-20 | 2021-07-29 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-07-20 | 2021-07-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-20 | 2021-07-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-20 | 2021-07-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-10 | 2019-05-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-10 | 2019-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-10 | 2019-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-10 | 2019-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-10 | 2019-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-10 | 2019-05-10 | 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 | 2019-04-10 | 2019-05-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-10 | 2019-05-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-10 | 2019-05-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-10 | 2019-05-10 | 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 | 2019-04-10 | 2019-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-10 | 2019-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-10 | 2019-05-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Meet other general requirements. | Fire Safety | 2019-04-15 | 2019-04-26 | 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 | 2019-04-15 | 2019-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-15 | 2019-04-26 | 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 | 2019-04-15 | 2019-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-15 | 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 | 2019-04-15 | 2019-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-15 | 2019-04-26 | N |
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