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Deficiency Records for Grace Pointe Wellness Center

A list of the most recent deficiencies for Grace Pointe Wellness 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 Grace Pointe Wellness 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-04 2024-04-30 Y
Keep residents' personal and medical records private and confidential. Health 2024-04-04 2024-04-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-04 2024-04-30 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-04-04 2024-04-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-04 2024-04-30 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-04-04 2024-04-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-03-05 2024-03-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-05 2024-03-06 Y
Ensure each resident receives an accurate assessment. Health 2023-11-17 2023-12-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-17 2023-12-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-17 2023-12-31 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 2023-11-17 2023-12-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-17 2023-12-31 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-11-17 2023-12-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-17 2023-12-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-17 2023-12-31 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2023-12-31 N
Give the resident's representative the ability to exercise the resident's rights. Health 2023-11-17 2023-12-31 Y
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 2023-11-17 2023-12-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-17 2023-12-31 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-11-17 2023-12-31 Y
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 2023-11-17 2023-12-31 Y
Keep all essential equipment working safely. Health 2023-11-17 2023-12-31 Y
Provide properly protected cooking facilities. Fire Safety 2023-11-16 2023-12-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-16 2023-11-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-03 2023-06-01 Y
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 2022-09-30 2022-11-15 N
Ensure each resident receives an accurate assessment. Health 2022-09-30 2022-11-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-30 2022-11-15 N
Post nurse staffing information every day. Health 2022-09-30 2022-11-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-30 2022-11-15 N
Ensure medication error rates are not 5 percent or greater. Health 2022-09-30 2022-11-15 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-09-30 2022-11-15 N
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Health 2022-09-30 2022-11-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-30 2022-11-15 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-09-30 2022-11-15 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-09-30 2022-11-15 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-06-08 2022-06-30 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-06-08 2022-06-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-23 2021-08-31 N
Provide activities to meet all resident's needs. Health 2021-07-23 2021-08-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-23 2021-08-31 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-07-23 2021-08-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-23 2021-08-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-07-21 2021-08-25 N
Provide properly protected cooking facilities. Fire Safety 2021-07-21 2021-08-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-21 2021-08-24 N

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