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Deficiency Records for Gran Grans Place

A list of the most recent deficiencies for Gran Grans Place. 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 Gran Grans Place. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-10 2024-08-08 N
Assess the resident when there is a significant change in condition Health 2024-07-10 2024-08-08 N
Provide enough food/fluids to maintain a resident's health. Health 2024-07-10 2024-08-08 N
Observe each nurse aide's job performance and give regular training. Health 2024-07-10 2024-08-08 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 2024-07-10 2024-08-08 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-07-10 2024-08-08 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-07-10 2024-08-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-10 2024-08-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-10 2024-08-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-16 2024-07-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-09 2023-12-04 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-06-23 2023-08-04 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-06-23 2023-08-04 N
Provide and implement an infection prevention and control program. Health 2023-06-23 2023-08-04 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-06-23 2023-08-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-23 2023-08-04 Y
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 2023-06-23 2023-08-04 Y

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