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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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