A list of the most recent deficiencies for Garden Crest Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-01-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2024-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-16 | 2024-01-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-16 | 2024-01-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-16 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2024-01-12 | 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 | 2023-11-16 | 2024-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2024-01-12 | 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 | 2024-01-12 | 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 | 2024-01-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-16 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2024-01-12 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-11-29 | 2023-12-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-29 | 2023-12-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-11-29 | 2023-12-15 | 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 | 2023-11-29 | 2023-12-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-11-29 | 2023-12-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-29 | 2023-12-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-29 | 2023-12-14 | 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 | 2023-09-22 | 2023-10-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-23 | 2023-09-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-23 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-12 | 2023-06-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-12 | 2023-06-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-01 | 2023-03-10 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-03-01 | 2023-03-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-16 | 2023-01-19 | 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 | 2022-12-16 | 2023-01-19 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-16 | 2023-01-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-01-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-16 | 2023-01-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-16 | 2023-01-19 | N |
| Post nurse staffing information every day. | Health | 2022-12-16 | 2023-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-01-19 | N |
| Keep all essential equipment working safely. | Health | 2022-12-16 | 2023-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-01-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-12-15 | 2023-01-14 | 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 | 2022-12-15 | 2023-01-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-12-15 | 2023-01-14 | 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 | 2022-12-15 | 2023-01-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-29 | 2023-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-19 | 2022-10-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-18 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-08-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-09-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-10 | 2021-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-10 | 2021-07-20 | Y |
| 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 | 2021-07-10 | 2021-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-10 | 2021-07-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-16 | 2019-08-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-16 | 2019-08-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-16 | 2019-08-08 | 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 | 2019-07-16 | 2019-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-16 | 2019-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-16 | 2019-08-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-07-16 | 2019-08-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-16 | 2019-08-08 | N |
| 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 | 2019-07-16 | 2019-08-08 | 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 | 2019-07-16 | 2019-08-08 | 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 | 2019-07-16 | 2019-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-16 | 2019-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-16 | 2019-08-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-12-16 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-16 | Not Fixed | N |
