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Deficiency Records for Gregory Ridge Health Care Center
A list of the most recent deficiencies for Gregory Ridge Health 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 Gregory Ridge Health 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? |
|---|---|---|---|---|
| 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 | 2024-05-09 | 2024-06-02 | Y |
| 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 | 2024-05-09 | 2024-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-04 | 2024-06-02 | 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 | 2024-04-04 | 2024-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-29 | 2024-06-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-23 | 2024-05-01 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-04-23 | 2024-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-23 | 2024-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-29 | 2024-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-01-29 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-01-29 | 2024-01-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-14 | 2023-06-14 | 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 | 2023-04-20 | 2023-06-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-20 | 2023-06-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-20 | 2023-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-20 | 2023-06-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-06-04 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-20 | 2023-06-04 | 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 | 2023-04-20 | 2023-06-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-20 | 2023-06-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-24 | 2023-04-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-13 | 2023-03-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-08 | 2023-01-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-27 | 2023-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-21 | 2023-01-05 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-09-27 | 2022-11-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-31 | 2022-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-31 | 2022-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-07-28 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-14 | 2021-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-06-14 | 2021-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-14 | 2021-07-28 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-14 | 2021-07-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-14 | 2021-07-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-14 | 2021-07-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Meet other general requirements. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-14 | 2021-07-28 | 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 | 2021-06-14 | 2021-07-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-06-14 | 2021-07-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-14 | 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 | 2021-06-14 | 2021-07-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-11 | 2019-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-05-27 | 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 | 2019-04-11 | 2019-05-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-04-11 | 2019-05-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-04-11 | 2019-05-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-05-27 | 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 | 2019-04-11 | 2019-05-27 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-11 | 2019-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-05-27 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-11 | 2019-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-11 | 2019-05-27 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-04-11 | 2019-05-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-11 | 2019-05-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Meet other general requirements. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-11 | 2019-05-27 | 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 | 2019-04-11 | 2019-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-11 | 2019-05-27 | N |
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