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Deficiency Records for Graceland Rehabilitation and Nursing Care Center
A list of the most recent deficiencies for Graceland Rehabilitation and Nursing Care Center. 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 Graceland Rehabilitation and Nursing Care Center. 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 | 2024-05-01 | 2024-10-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-01 | 2024-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-01 | 2024-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-10-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-01 | 2024-10-02 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-01 | 2024-10-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-01 | 2024-08-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-01 | 2024-08-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-01 | 2024-05-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-01 | 2024-05-28 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-05-01 | 2024-05-28 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-01 | 2024-05-28 | 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 | 2024-05-01 | 2024-05-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-01 | 2024-05-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-01 | 2024-05-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-01 | 2024-05-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-02 | 2023-01-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-02 | 2023-01-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-02 | 2023-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2023-01-04 | 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 | 2022-12-02 | 2023-01-04 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-02 | 2023-01-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-12-02 | 2023-01-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-02 | 2023-01-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-02 | 2023-01-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2023-01-04 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-07-08 | 2019-08-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-08 | 2019-08-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-11 | 2019-08-09 | 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 | 2019-07-11 | 2019-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-08 | 2019-08-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-08 | 2019-08-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-08 | 2019-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-11 | 2019-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-06 | 2018-09-09 | 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 | 2018-08-06 | 2018-09-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-06 | 2018-09-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-09 | 2018-08-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-09 | 2018-08-31 | 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 | 2018-08-09 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-09 | 2018-08-09 | N |
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