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Deficiency Records for Green Acres Nursing and Rehab
A list of the most recent deficiencies for Green Acres Nursing and Rehab. 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 Green Acres Nursing and Rehab. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Meet other general requirements. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-05 | 2024-10-23 | 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 | 2024-09-05 | 2024-10-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-05 | 2024-10-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-22 | 2024-10-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-22 | 2024-10-04 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-08-22 | 2024-10-04 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-08-22 | 2024-10-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-22 | 2024-10-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-22 | 2024-10-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-22 | 2024-10-04 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-22 | 2024-10-04 | 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 | 2024-08-22 | 2024-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-10-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-22 | 2024-10-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-22 | 2024-10-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-22 | 2024-10-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-22 | 2024-10-04 | Y |
| Meet other general requirements. | Fire Safety | 2023-08-31 | 2023-10-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-31 | 2023-10-27 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-31 | 2023-10-27 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-31 | 2023-10-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-03 | 2020-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-03 | 2020-05-03 | 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 | 2020-03-03 | 2020-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-03 | 2020-05-03 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-03-03 | 2020-05-03 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-03-03 | 2020-05-03 | N |
| Post nurse staffing information every day. | Health | 2020-03-03 | 2020-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-03 | 2020-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-14 | 2020-02-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-14 | 2020-02-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-09 | 2018-09-21 | N |
| 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 | 2018-08-09 | 2018-09-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-09 | 2018-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-09 | 2018-09-21 | N |
| 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 | 2020-03-03 | Not Fixed | N |
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