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Deficiency Records for Life Care Center of Grandview
A list of the most recent deficiencies for Life Care Center of Grandview. 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 Life Care Center of Grandview. 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? |
|---|---|---|---|---|
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-09 | 2024-07-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-09 | 2024-06-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-09 | 2024-06-23 | 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 | 2024-05-09 | 2024-06-23 | 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 | 2024-05-09 | 2024-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-09 | 2024-06-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-09 | 2024-06-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-09 | 2024-06-23 | N |
| Provide or obtain dental services for each resident. | Health | 2024-05-09 | 2024-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-06-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-09 | 2024-06-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-09 | 2024-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-05-09 | 2024-06-23 | 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 | 2024-05-09 | 2024-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-09 | 2024-06-23 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-29 | 2024-03-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-06 | 2023-11-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-03 | 2023-05-01 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-08 | 2023-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-30 | 2022-12-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-30 | 2022-12-30 | Y |
| 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 | 2022-08-08 | 2022-09-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-08 | 2022-09-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-08 | 2022-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-08 | 2022-09-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-08 | 2022-09-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-08-08 | 2022-09-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-08-08 | 2022-09-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-08 | 2022-09-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-08 | 2022-09-22 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-08 | 2022-09-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-08-08 | 2022-09-22 | 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 | 2022-08-08 | 2022-09-22 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-08-08 | 2022-09-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-08 | 2022-09-22 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-08 | 2022-09-22 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-10-04 | 2019-11-11 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-10-04 | 2019-11-11 | 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 | 2019-10-04 | 2019-11-11 | 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 | 2019-10-04 | 2019-11-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-04 | 2019-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-04 | 2019-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-04 | 2019-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-04 | 2019-11-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-04 | 2019-11-11 | 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 | 2019-10-04 | 2019-11-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-04 | 2019-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-11-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-04 | 2019-11-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-04 | 2019-11-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-04 | 2019-11-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-04 | 2019-11-11 | 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 | 2019-10-04 | 2019-11-11 | 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 | 2019-10-04 | 2019-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-04 | 2019-11-11 | N |
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