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Deficiency Records for Dr Guy Gorman Sr Care Home

View the most recent health deficiencies and inspection results for Dr Guy Gorman Sr Care Home. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Dr Guy Gorman Sr Care Home. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2025-07-25 2026-01-23 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-07-25 2026-01-23 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-07-25 2026-01-23 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2025-07-25 2025-11-20 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2025-07-25 2025-11-20 Y
Respond appropriately to all alleged violations. Health 2025-07-25 2025-11-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-07-25 2025-11-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-07-25 2025-11-20 Y
Provide training in compliance and ethics. Health 2025-07-25 2025-11-20 N
Provide and implement an infection prevention and control program. Health 2025-07-25 2025-11-20 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-07-25 2025-11-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-07-25 2025-11-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-07-25 2025-11-20 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2025-07-25 2025-11-20 N
Ensure each resident receives an accurate assessment. Health 2025-07-25 2025-11-20 N
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Health 2025-07-25 2025-11-20 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 2025-07-25 2025-11-20 Y
Provide or obtain dental services for each resident. Health 2024-09-27 2025-02-28 N
Conduct testing and exercise requirements. Fire Safety 2024-09-27 2024-11-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-09-27 2024-10-28 Y
Provide and implement an infection prevention and control program. Health 2024-09-27 2024-10-28 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 2024-09-27 2024-10-28 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-09-27 2024-10-28 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-09-27 2024-10-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-27 2024-10-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-27 2024-10-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-09-27 2024-10-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-09-27 2024-10-28 Y
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2024-09-27 2024-10-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-09-27 2024-10-28 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-09-27 2024-10-28 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-09-27 2024-10-28 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-09-27 2024-10-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-27 2024-10-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-09-27 2024-10-28 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 2024-09-27 2024-10-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-09-27 2024-10-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-09-27 2024-10-28 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-09-27 2024-10-28 N
Ensure each resident receives an accurate assessment. Health 2024-09-27 2024-10-28 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-09-27 2024-10-28 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-09-27 2024-10-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-09-27 2024-10-28 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 2024-09-27 2024-10-10 N
Provide and implement an infection prevention and control program. Health 2024-01-11 2024-02-01 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-09-15 2024-01-01 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-09-15 2023-11-29 N
Establish staff and initial training requirements. Fire Safety 2023-09-15 2023-11-29 N
Conduct testing and exercise requirements. Fire Safety 2023-09-15 2023-11-29 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 2023-09-15 2023-11-17 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-09-15 2023-11-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-15 2023-11-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-15 2023-11-17 Y
Respond appropriately to all alleged violations. Health 2023-09-15 2023-11-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-15 2023-11-17 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-09-15 2023-11-17 Y
Have a Compliance and Ethics Program. Health 2023-09-15 2023-11-17 N
Implement a program that monitors antibiotic use. Health 2023-09-15 2023-11-17 N
Provide and implement an infection prevention and control program. Health 2023-09-15 2023-11-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-15 2023-11-17 N
Provide enough food/fluids to maintain a resident's health. Health 2023-09-15 2023-11-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-09-15 2023-11-17 N
Ensure each resident receives an accurate assessment. Health 2023-09-15 2023-11-17 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-09-15 2023-11-17 N
Assess the resident when there is a significant change in condition Health 2023-09-15 2023-11-17 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-09-15 2023-11-17 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-09-15 2023-11-17 N
Keep residents' personal and medical records private and confidential. Health 2023-09-15 2023-11-17 N

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