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Deficiency Records for The Grove at Harmony
A list of the most recent deficiencies for The Grove at Harmony. 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 Harmony. 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? |
|---|---|---|---|---|
| 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 | 2024-07-31 | 2024-08-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-27 | 2024-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-27 | 2024-07-26 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-10 | 2024-07-01 | 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 | 2024-05-03 | 2024-06-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-03 | 2024-06-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-03 | 2024-06-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-03 | 2024-06-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-03 | 2024-06-13 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-03 | 2024-06-13 | 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 | 2024-05-03 | 2024-06-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-03 | 2024-06-13 | 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 | 2024-05-03 | 2024-06-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-03 | 2024-06-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-03 | 2024-06-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-03 | 2024-06-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-03 | 2024-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-03 | 2024-06-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-03 | 2024-06-13 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-05-03 | 2024-06-13 | 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 | 2024-05-03 | 2024-06-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-05-03 | 2024-06-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-03 | 2024-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-03 | 2024-06-13 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-03 | 2024-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-03 | 2024-06-13 | 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 | 2024-05-03 | 2024-06-13 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-05-03 | 2024-06-13 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-05-03 | 2024-06-13 | 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 | 2024-05-03 | 2024-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-03 | 2024-06-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-03 | 2024-06-13 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-03 | 2024-06-13 | Y |
| Meet other general requirements. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Meet other general requirements. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-10 | 2024-06-04 | 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 | 2024-02-26 | 2024-03-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-26 | 2024-03-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-26 | 2024-03-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-26 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-03-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-26 | 2024-03-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-26 | 2024-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-02-06 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-09-13 | 2023-10-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-14 | 2023-08-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| 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 | 2023-06-14 | 2023-07-29 | N |
| Provide large enough exits. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-09 | 2023-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-09 | 2023-07-11 | N |
| 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 | 2023-06-09 | 2023-07-11 | 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 | 2023-06-09 | 2023-07-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-25 | 2023-02-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-25 | 2023-02-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-16 | 2023-01-11 | Y |
| 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 | 2022-12-16 | 2023-01-11 | Y |
| Meet other general requirements. | Fire Safety | 2022-07-25 | 2022-09-06 | 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 | 2022-07-25 | 2022-09-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-25 | 2022-09-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-25 | 2022-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-25 | 2022-09-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-25 | 2022-09-06 | 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 | 2022-07-21 | 2022-08-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-21 | 2022-08-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-07-21 | 2022-08-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-21 | 2022-08-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-21 | 2022-08-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-21 | 2022-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-21 | 2022-08-30 | Y |
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