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Deficiency Records for The Grand Rehabilitation and Nursing at Pawling
A list of the most recent deficiencies for The Grand Rehabilitation and Nursing at Pawling. 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 The Grand Rehabilitation and Nursing at Pawling. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-04-13 | 2023-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-13 | 2023-07-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-13 | 2023-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-13 | 2023-06-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-13 | 2023-06-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-04-13 | 2023-06-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-13 | 2023-06-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-04-13 | 2023-05-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-13 | 2023-05-21 | 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 | 2023-04-13 | 2023-05-20 | N |
| 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 | 2023-04-13 | 2023-05-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-13 | 2023-05-20 | 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 | 2023-04-13 | 2023-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-13 | 2023-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-05-20 | 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 | 2023-04-13 | 2023-05-20 | 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 | 2023-04-13 | 2023-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-13 | 2023-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-05-20 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-13 | 2023-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-13 | 2023-05-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-04-13 | 2023-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-15 | 2019-12-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-01-16 | 2018-04-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-16 | 2018-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-16 | 2018-03-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-01-16 | 2018-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-16 | 2018-03-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-16 | 2018-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-16 | 2018-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-16 | 2018-03-16 | N |
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