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Deficiency Records for The Grove at Washington

A list of the most recent deficiencies for The Grove at Washington. 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 Grove at Washington. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-11-22 2024-01-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-22 2024-01-03 N
Ensure each resident receives an accurate assessment. Health 2023-11-22 2024-01-03 N
Observe each nurse aide's job performance and give regular training. Health 2023-11-22 2024-01-03 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 2023-11-22 2024-01-03 N
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2023-11-22 2024-01-03 N
Provide and implement an infection prevention and control program. Health 2023-11-22 2024-01-03 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-11-22 2024-01-03 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2023-11-22 2024-01-03 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2023-11-22 2024-01-03 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-11-22 2024-01-03 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-11-22 2024-01-03 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 2023-11-22 2024-01-03 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-11-20 2023-12-20 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-11-20 2023-12-20 N
List the names and contact information of those in the facility. Fire Safety 2023-11-20 2023-12-20 N
Establish emergency prep training and testing. Fire Safety 2023-11-20 2023-12-20 N
Conduct testing and exercise requirements. Fire Safety 2023-11-20 2023-12-20 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-11-20 2023-12-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-20 2023-12-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-11-20 2023-12-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-20 2023-12-20 N
Keep residents' personal and medical records private and confidential. Health 2023-09-15 2023-10-12 Y
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 2023-09-15 2023-10-12 Y
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 2023-09-15 2023-10-12 Y
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 2023-09-15 2023-10-12 Y
Keep all essential equipment working safely. Health 2023-09-15 2023-10-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-23 2023-09-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-23 2023-09-21 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-08-23 2023-09-21 Y
Keep all essential equipment working safely. Health 2023-08-23 2023-09-21 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-10 2023-03-24 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 2023-02-10 2023-03-24 N
Provide enough food/fluids to maintain a resident's health. Health 2023-02-10 2023-03-24 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-02-10 2023-03-24 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 2023-02-10 2023-03-24 N
Provide and implement an infection prevention and control program. Health 2023-02-10 2023-03-24 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-02-10 2023-03-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-15 2023-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-15 2023-03-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-26 2022-11-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-26 2022-11-11 Y
Perform COVID19 testing on residents and staff. Health 2022-06-01 2022-06-20 Y
Ensure staff are vaccinated for COVID-19 Health 2022-06-01 2022-06-20 Y
Have an enclosure around a vertical opening shaft. Fire Safety 2022-03-08 2022-04-16 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 2022-03-08 2022-04-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-08 2022-04-16 N
Have power receptacles that are properly grounded. Fire Safety 2022-03-08 2022-04-16 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 2022-02-03 2022-03-03 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 2022-02-03 2022-03-03 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-02-03 2022-03-03 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-03 2022-03-03 Y
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 2023-06-22 Not Fixed Y

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