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Deficiency Records for Glen Island Center For Nursing and Rehabilitation
A list of the most recent deficiencies for Glen Island Center For Nursing and Rehabilitation. 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 Glen Island Center For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-17 | 2024-07-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-06-17 | 2024-07-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-17 | 2024-07-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-06-17 | 2024-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-17 | 2024-07-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-17 | 2024-07-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-17 | 2024-07-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-17 | 2024-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-17 | 2024-07-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-06-17 | 2024-07-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-14 | 2024-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-14 | 2024-07-05 | 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 | 2024-06-14 | 2024-07-05 | 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 | 2024-06-14 | 2024-07-05 | 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 | 2024-06-14 | 2024-07-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-14 | 2024-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-14 | 2024-07-05 | Y |
| 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 | 2024-06-17 | 2024-06-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-17 | 2024-06-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-15 | 2022-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-15 | 2022-01-28 | 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 | 2018-11-13 | 2019-01-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-13 | 2019-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-13 | 2019-01-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-13 | 2019-01-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-13 | 2019-01-29 | 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 | 2018-11-13 | 2019-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-13 | 2019-01-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-11-13 | 2019-01-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-13 | 2019-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-13 | 2019-01-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-13 | 2019-01-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-11-13 | 2019-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-13 | 2019-01-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-13 | 2019-01-10 | N |
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