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Deficiency Records for Glasgow Hills of Journey
A list of the most recent deficiencies for Glasgow Hills of Journey. 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 Glasgow Hills of Journey. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-29 | 2024-06-18 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-04-29 | 2024-06-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-29 | 2024-06-18 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-04-29 | 2024-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-29 | 2024-06-18 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-04-29 | 2024-06-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-29 | 2024-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-29 | 2024-06-18 | Y |
| Post nurse staffing information every day. | Health | 2024-04-29 | 2024-06-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-29 | 2024-06-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-29 | 2024-06-18 | 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 | 2024-02-15 | 2024-02-27 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-15 | 2024-02-27 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-12 | 2024-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-02-24 | 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 | 2023-12-12 | 2024-02-19 | Y |
| 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 | 2023-12-12 | 2024-02-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-12 | 2024-02-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2024-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-12 | 2024-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| 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 | 2023-12-12 | 2024-01-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-12 | 2024-01-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-12 | 2024-01-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-12 | 2024-01-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-12 | 2024-01-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-12 | 2024-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2024-01-16 | 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 | 2023-12-12 | 2024-01-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-12 | 2024-01-16 | 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 | 2023-12-12 | 2024-01-16 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-12 | 2024-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2024-01-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-12 | 2024-01-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-12 | 2024-01-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-12 | 2024-01-16 | 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 | 2023-12-12 | 2024-01-16 | 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 | 2023-12-12 | 2024-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-01-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-12 | 2024-01-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-12-12 | 2024-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2024-01-16 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-12-12 | 2024-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-12 | 2024-01-16 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-19 | 2023-10-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-19 | 2023-10-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-19 | 2023-10-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-19 | 2023-10-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-19 | 2023-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-10-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-19 | 2023-10-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-16 | 2022-12-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-16 | 2022-12-19 | 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 | 2022-11-16 | 2022-12-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-16 | 2022-12-19 | 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 | 2022-11-16 | 2022-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-16 | 2022-12-19 | 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 | 2022-11-16 | 2022-12-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-11-16 | 2022-12-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-16 | 2022-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-16 | 2022-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-16 | 2022-12-19 | 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 | 2022-11-16 | 2022-12-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-16 | 2022-12-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-16 | 2022-12-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-16 | 2022-12-19 | 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 | 2022-11-16 | 2022-12-19 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-16 | 2022-12-19 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-11-16 | 2022-12-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-16 | 2022-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-16 | 2022-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-16 | 2022-12-19 | 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 | 2022-11-16 | 2022-12-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-16 | 2022-12-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-15 | 2022-12-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-15 | 2022-12-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-15 | 2022-12-06 | 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 | 2022-03-09 | 2022-03-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-09 | 2022-03-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-09 | 2022-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-03-17 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-03-09 | 2022-03-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-09 | 2022-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-03-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-12 | 2022-02-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-12 | 2022-02-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-12 | 2022-02-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-17 | 2021-12-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-04 | 2021-09-30 | 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 | 2021-08-04 | 2021-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-04 | 2021-09-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-04 | 2021-09-30 | 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 | 2021-08-04 | 2021-09-15 | 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 | 2021-08-04 | 2021-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-04 | 2021-09-15 | N |
| Post nurse staffing information every day. | Health | 2021-08-04 | 2021-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-04 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-09-15 | N |
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