Deficiency Records for Gower Convalescent Center, Inc

A list of the most recent deficiencies for Gower Convalescent Center, Inc. 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	Health	2023-10-26	2023-12-27	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2023-10-26	2023-12-27	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	2023-10-26	2023-12-27	N
Ensure services provided by the nursing facility meet professional standards of quality.	Health	2023-10-26	2023-12-27	N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	Health	2023-10-26	2023-12-27	N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Health	2023-10-26	2023-12-27	N
Provide and implement an infection prevention and control program.	Health	2023-10-26	2023-12-27	N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	Health	2023-10-26	2023-12-27	N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Fire Safety	2023-10-26	2023-12-27	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2023-10-26	2023-12-27	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	2023-10-26	2023-11-27	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2023-10-26	2023-11-27	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2022-01-20	2022-01-28	Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Health	2021-10-07	2022-01-14	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2021-10-07	2022-01-14	N
Establish roles under a Waiver declared by secretary.	Fire Safety	2021-10-07	2021-12-07	N
Ensure proper usage of power strips and extension cords.	Fire Safety	2021-10-07	2021-12-07	N
Conduct testing and exercise requirements.	Fire Safety	2021-10-07	2021-11-30	N
To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Fire Safety	2021-10-07	2021-11-30	N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Fire Safety	2021-10-07	2021-11-15	N
Provide properly protected cooking facilities.	Fire Safety	2021-10-07	2021-10-28	N
Install a fire alarm system that can be heard throughout the facility.	Fire Safety	2021-10-07	2021-10-28	N
Have approved installation, maintenance and testing program for fire alarm systems.	Fire Safety	2021-10-07	2021-10-28	N
Use approved construction type or materials.	Fire Safety	2021-10-07	2021-10-25	N
Have properly installed electrical wiring and gas equipment.	Fire Safety	2021-10-07	2021-10-25	N
Have proper medical gas storage and administration areas.	Fire Safety	2021-10-07	2021-10-25	N
Develop and implement policies and procedures to prevent abuse, neglect, and theft.	Health	2021-10-07	2021-10-15	N
Assure the security of all personal funds of residents deposited with the facility.	Health	2021-10-07	2021-10-08	N
Honor the resident's right to organize and participate in resident/family groups in the facility.	Health	2019-09-06	2019-10-30	N
Give residents a notice of rights, rules, services and charges.	Health	2019-09-06	2019-10-30	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	2019-09-06	2019-10-30	N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	Health	2019-09-06	2019-10-30	N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Health	2019-09-06	2019-10-30	N
Ensure services provided by the nursing facility meet professional standards of quality.	Health	2019-09-06	2019-10-30	N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	Health	2019-09-06	2019-10-30	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	2019-09-06	2019-10-30	N
Ensure medication error rates are not 5 percent or greater.	Health	2019-09-06	2019-10-30	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	2019-09-06	2019-10-30	N

Deficiency Records for Gower Convalescent Center, Inc

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