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Deficiency Records for Gallaway Health and Rehab
A list of the most recent deficiencies for Gallaway Health and Rehab. 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 Gallaway Health and Rehab. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-21 | 2023-03-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-21 | 2023-03-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-21 | 2023-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-21 | 2023-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-21 | 2023-03-23 | 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 | 2022-12-21 | 2023-03-23 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-21 | 2023-03-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-21 | 2023-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-03-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-09 | 2022-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-09 | 2022-07-08 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-09 | 2022-07-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-20 | 2022-01-27 | 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 | 2021-11-20 | 2022-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-20 | 2021-12-08 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-11-20 | 2021-12-08 | 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 | 2019-06-27 | 2019-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-27 | 2019-07-27 | N |
| Dispose of garbage and refuse properly. | Health | 2019-06-27 | 2019-07-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-06-27 | 2019-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-07-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-27 | 2019-07-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-24 | 2019-07-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-24 | 2019-07-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-24 | 2019-07-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-24 | 2019-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-24 | 2019-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-24 | 2019-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-05 | 2018-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-05 | 2018-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-05 | 2018-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-05 | 2018-10-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-06 | 2018-09-14 | 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 | 2018-09-06 | 2018-09-14 | N |
| 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 | 2018-09-06 | 2018-09-14 | 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 | 2018-09-06 | 2018-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-09-14 | N |
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