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Deficiency Records for Grancell Village of The Jewish Homes For The Aging
A list of the most recent deficiencies for Grancell Village of The Jewish Homes For The Aging. 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 Grancell Village of The Jewish Homes For The Aging. 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 | 2024-03-26 | 2024-04-12 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-17 | 2024-02-15 | 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 | 2024-01-17 | 2024-02-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-17 | 2024-02-15 | 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 | 2024-01-17 | 2024-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-17 | 2024-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-11 | 2024-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-11 | 2024-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-09 | 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 | 2024-01-11 | 2024-02-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-02-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-11 | 2024-02-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-11 | 2024-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-02-09 | 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 | 2024-01-11 | 2024-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-22 | 2023-01-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-22 | 2023-01-16 | 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 | 2022-12-22 | 2023-01-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-22 | 2023-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2023-01-16 | 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 | 2022-12-22 | 2023-01-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-22 | 2023-01-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-22 | 2023-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-22 | 2023-01-16 | 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 | 2022-12-22 | 2023-01-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-22 | 2023-01-16 | 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 | 2022-12-22 | 2023-01-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-12-22 | 2023-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-16 | 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 | 2022-12-29 | 2023-01-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-12-29 | 2023-01-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-12-29 | 2023-01-13 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-12-29 | 2023-01-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-29 | 2023-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-29 | 2023-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-29 | 2023-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2022-12-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-26 | 2022-10-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-20 | 2021-11-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-09-16 | 2019-10-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-16 | 2019-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-16 | 2019-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-10-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-16 | 2019-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-16 | 2019-10-06 | 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 | 2019-09-16 | 2019-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-10-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-16 | 2019-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-10-06 | 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 | 2019-09-15 | 2019-10-06 | 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 | 2019-09-15 | 2019-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-15 | 2019-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-15 | 2019-10-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-15 | 2019-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-15 | 2019-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-15 | 2019-10-06 | N |
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