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Deficiency Records for Greenfield Care Center of Fillmore, LLC

A list of the most recent deficiencies for Greenfield Care Center of Fillmore, LLC. 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 Greenfield Care Center of Fillmore, LLC. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-22 2024-06-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-14 2024-06-03 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-04-30 2024-05-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-30 2024-05-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-29 2024-05-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-13 2024-04-17 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 2023-11-16 2023-12-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-16 2023-12-13 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 2023-11-16 2023-12-13 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-11-16 2023-12-13 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 2023-11-16 2023-12-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-16 2023-12-13 N
Use approved construction type or materials. Fire Safety 2023-11-20 2023-12-08 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-11-20 2023-12-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-20 2023-12-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-11-20 2023-12-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-20 2023-12-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-20 2023-12-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-24 2023-10-27 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-01 2023-05-08 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-01 2023-05-08 Y
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 2023-05-01 2023-05-02 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-06 2023-03-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-03-06 2023-03-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-02 2022-12-21 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-04-14 2022-05-25 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 2022-04-14 2022-05-25 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-04-14 2022-05-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-14 2022-05-25 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-14 2022-05-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-14 2022-05-25 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 2022-04-14 2022-05-25 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 2022-04-14 2022-05-25 N
Provide and implement an infection prevention and control program. Health 2022-04-14 2022-05-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-18 2022-04-21 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-12-09 2020-01-14 N
List the names and contact information of those in the facility. Fire Safety 2019-12-09 2020-01-14 N
Provide emergency officials' contact information. Fire Safety 2019-12-09 2020-01-14 N
Implement emergency and standby power systems. Fire Safety 2019-12-09 2020-01-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-12-09 2020-01-14 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-12-09 2020-01-14 N
Provide properly protected cooking facilities. Fire Safety 2019-12-09 2020-01-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-12-09 2020-01-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-09 2020-01-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-12-09 2020-01-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-09 2020-01-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-12-09 2020-01-14 N
Meet requirements for the use of electrical equipment. Fire Safety 2019-12-09 2020-01-14 N
Keep all essential equipment working safely. Health 2019-11-07 2019-12-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-11-07 2019-11-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-07 2019-11-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-07 2019-11-07 N

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