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Deficiency Records for Grant Rehabilitation and Care Center
A list of the most recent deficiencies for Grant Rehabilitation and 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 Grant Rehabilitation and 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-17 | 2024-06-05 | 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 | 2024-04-17 | 2024-06-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-17 | 2024-06-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-17 | 2024-05-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-17 | 2024-05-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-17 | 2024-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-17 | 2024-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-17 | 2024-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-17 | 2024-05-13 | 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 | 2024-04-17 | 2024-05-13 | 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 | 2024-04-17 | 2024-05-13 | 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 | 2024-04-17 | 2024-05-13 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-04-17 | 2024-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-17 | 2024-05-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-04-17 | 2024-05-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-17 | 2024-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-17 | 2024-05-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-17 | 2024-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-05 | 2023-09-27 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-10 | 2022-09-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-10 | 2022-09-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-10 | 2022-09-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-10 | 2022-09-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-10 | 2022-09-02 | 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 | 2022-08-10 | 2022-09-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-09-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-10 | 2022-09-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-08-10 | 2022-09-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-10 | 2022-09-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-10 | 2022-09-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-11 | 2022-08-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-14 | 2019-10-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-14 | 2019-10-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-14 | 2019-10-11 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-14 | 2019-10-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-14 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-14 | 2019-10-11 | 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 | 2019-08-14 | 2019-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-14 | 2019-10-11 | 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 | 2019-08-14 | 2019-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-14 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-10-11 | N |
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