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Deficiency Records for Heritage Hall Grundy

A list of the most recent deficiencies for Heritage Hall Grundy. 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 Heritage Hall Grundy. 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-17 2023-07-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-17 2023-05-09 N
Provide properly protected cooking facilities. Fire Safety 2023-03-17 2023-05-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-17 2023-05-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-28 2023-04-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-28 2023-04-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-28 2023-04-26 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 2021-04-05 2021-05-26 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-04-05 2021-05-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-04-05 2021-05-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-04-05 2021-05-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-05 2021-05-26 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-03-18 2021-04-26 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-03-18 2021-04-26 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-03-18 2021-04-26 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-03-18 2021-04-26 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 2021-03-18 2021-04-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-03-18 2021-04-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-21 2019-05-05 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-03-21 2019-05-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-03-21 2019-05-05 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 2019-03-21 2019-05-05 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 2019-03-21 2019-05-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-03-21 2019-05-05 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 2019-03-21 2019-05-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-03-21 2019-05-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-21 2019-05-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-03-21 2019-05-05 N
Ensure medication error rates are not 5 percent or greater. Health 2019-03-21 2019-05-05 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 2019-03-21 2019-05-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-03-21 2019-05-05 N
Provide and implement an infection prevention and control program. Health 2019-03-21 2019-05-05 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-03-21 2019-05-05 N

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