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Deficiency Records for The Grove Post Acute
A list of the most recent deficiencies for The Grove Post Acute. 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 The Grove Post Acute. 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? |
|---|---|---|---|---|
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-07 | 2024-05-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-02 | 2024-05-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-02 | 2024-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-12 | 2023-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-12 | 2023-08-03 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-07 | 2023-01-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-02 | 2022-12-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-02 | 2022-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2022-12-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2022-12-02 | 2022-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2022-12-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-02 | 2022-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-30 | 2019-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-30 | 2019-08-30 | N |
| 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 | 2019-07-30 | 2019-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-30 | 2019-08-30 | 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 | 2019-07-30 | 2019-08-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-30 | 2019-08-30 | 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 | 2019-07-30 | 2019-08-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-07-30 | 2019-08-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-07-30 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-30 | 2019-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-30 | 2019-08-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-30 | 2019-08-30 | N |
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