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Deficiency Records for The Grove at Latrobe

A list of the most recent deficiencies for The Grove at Latrobe. 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 Latrobe. 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?
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-08-08 2024-08-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-08 2024-08-30 Y
Ensure that residents are free from significant medication errors. Health 2024-08-08 2024-08-30 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-08 2024-08-30 Y
Respond appropriately to all alleged violations. Health 2024-05-09 2024-06-07 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 2024-05-09 2024-06-07 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-09 2024-06-07 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 2024-03-19 2024-04-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-19 2024-04-19 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-03-19 2024-04-19 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-03-19 2024-04-19 Y
Provide and implement an infection prevention and control program. Health 2024-03-19 2024-04-19 Y
Keep all essential equipment working safely. Health 2024-03-19 2024-04-19 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-03-19 2024-04-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-25 2024-04-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-25 2024-04-17 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 2024-01-25 2024-04-17 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2024-01-25 2024-04-17 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-01-25 2024-04-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-25 2024-02-29 N
Keep residents' personal and medical records private and confidential. Health 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 N
Ensure each resident receives an accurate assessment. Health 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-25 2024-02-29 N
Provide activities to meet all resident's needs. Health 2024-01-25 2024-02-29 N
Ensure the activities program is directed by a qualified professional. Health 2024-01-25 2024-02-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-25 2024-02-29 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-01-25 2024-02-29 N
Observe each nurse aide's job performance and give regular training. Health 2024-01-25 2024-02-29 N
Post nurse staffing information every day. Health 2024-01-25 2024-02-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-01-25 2024-02-29 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-01-25 2024-02-29 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 2024-01-25 2024-02-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-24 2024-02-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-08 2023-12-08 Y
Provide and implement an infection prevention and control program. Health 2023-11-08 2023-12-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-10-11 2023-11-03 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-10-11 2023-11-03 Y
Provide activities to meet all resident's needs. Health 2023-10-11 2023-11-03 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-10-11 2023-11-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-26 2023-07-19 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-05-09 2023-05-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-09 2023-05-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-09 2023-05-24 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-05-09 2023-05-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-09 2023-05-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-09 2023-05-24 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 2023-05-09 2023-05-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-08 2023-05-24 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-02-24 2023-05-24 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-24 2023-05-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-24 2023-05-24 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 2023-02-24 2023-05-24 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-02-23 2023-04-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-23 2023-04-30 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-08 2023-04-28 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2023-03-08 2023-04-28 Y
Provide and implement an infection prevention and control program. Health 2023-03-08 2023-04-28 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-02-24 2023-04-19 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 2023-02-24 2023-04-19 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 2023-02-24 2023-04-19 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-02-24 2023-04-19 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-02-24 2023-04-19 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-02-24 2023-04-19 Y
Provide activities to meet all resident's needs. Health 2023-02-24 2023-04-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-24 2023-04-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-24 2023-04-19 Y
Provide appropriate foot care. Health 2023-02-24 2023-04-19 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 2023-02-24 2023-04-19 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 2023-02-24 2023-04-19 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-02-24 2023-04-19 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-02-23 2023-03-31 N
Address subsistence needs for staff and patients. Fire Safety 2023-02-23 2023-03-31 N
Conduct testing and exercise requirements. Fire Safety 2023-02-23 2023-03-31 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 2023-02-23 2023-03-31 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 2023-02-23 2023-03-31 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-02-23 2023-03-31 N
Have power receptacles that are properly grounded. Fire Safety 2023-02-23 2023-03-31 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-02-23 2023-03-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-23 2023-03-31 N
Have proper medical gas storage and administration areas. Fire Safety 2023-02-23 2023-03-31 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-20 2023-01-20 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 2022-12-20 2023-01-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-20 2023-01-20 Y
Ensure each resident receives an accurate assessment. Health 2022-12-20 2023-01-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-20 2023-01-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-20 2023-01-20 Y
Provide and implement an infection prevention and control program. Health 2022-12-20 2023-01-20 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-12-20 2023-01-20 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-09-08 2022-10-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-08 2022-10-04 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-08 2022-10-04 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-07-25 2022-08-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-13 2022-07-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-31 2022-05-10 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 2022-03-31 2022-05-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-03-31 2022-05-10 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 2022-03-31 2022-05-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-31 2022-05-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-31 2022-05-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-31 2022-05-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-31 2022-05-10 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-03-31 2022-05-10 N
Observe each nurse aide's job performance and give regular training. Health 2022-03-31 2022-05-10 N
Ensure that residents are free from significant medication errors. Health 2022-03-31 2022-05-10 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-31 2022-05-10 N
Provide and implement an infection prevention and control program. Health 2022-03-31 2022-05-10 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-03-31 2022-05-10 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-04-11 2022-05-05 N
Meet other general requirements. Fire Safety 2022-04-11 2022-05-05 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2022-04-11 2022-05-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-04-11 2022-05-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-04-11 2022-05-05 N

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