Deficiency Records for Glen Haven Health and Rehabilitation, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Glen Haven Health and Rehabilitation, 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-26 | 2023-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-26 | 2023-08-24 | Y |
| 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 | 2023-07-26 | 2023-08-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-26 | 2023-08-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-26 | 2023-08-24 | Y |
| 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 | 2023-07-26 | 2023-08-24 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-26 | 2023-08-24 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-11-28 | N |
| Dispose of garbage and refuse properly. | Health | 2019-10-24 | 2019-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-17 | 2018-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-11 | 2018-11-15 | 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 | 2018-10-17 | 2018-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-17 | 2018-11-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-17 | 2018-10-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-10-17 | 2018-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-17 | 2018-10-18 | N |
