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Deficiency Records for Grove Park Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Grove Park Healthcare and Rehabilitation 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 Grove Park Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-18 | 2024-11-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-18 | 2024-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-18 | 2024-11-11 | 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 | 2024-10-18 | 2024-11-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-18 | 2024-11-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-18 | 2024-11-11 | 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 | 2024-10-18 | 2024-11-11 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-10-18 | 2024-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-18 | 2024-11-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-18 | 2024-11-08 | 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 | 2024-10-18 | 2024-11-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-18 | 2024-11-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-08 | 2023-07-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-07-13 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-08 | 2023-07-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-07-13 | 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 | 2023-06-08 | 2023-07-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-07-13 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-06-08 | 2023-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-08 | 2023-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-07-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-08 | 2023-07-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-08 | 2023-07-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-08 | 2023-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-08 | 2023-07-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-08 | 2023-07-13 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-06-29 | 2022-07-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-18 | 2022-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-18 | 2022-03-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-18 | 2022-03-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-18 | 2022-03-11 | 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 | 2022-02-18 | 2022-03-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-18 | 2022-03-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-18 | 2022-03-11 | 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 | 2022-02-18 | 2022-03-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-18 | 2022-03-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-18 | 2022-03-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-18 | 2022-03-11 | 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 | 2022-02-18 | 2022-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-18 | 2022-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-18 | 2022-03-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-18 | 2022-03-11 | N |
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