Deficiency Records for Garden View Post Acute Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Garden View Post Acute Rehabilitation. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-05 | 2024-01-30 | 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 | 2024-01-05 | 2024-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-05 | 2024-01-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-05 | 2024-01-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-05 | 2024-01-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-05 | 2024-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-05 | 2024-01-30 | 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 | 2024-01-05 | 2024-01-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-05 | 2024-01-30 | 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 | 2024-01-05 | 2024-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-01-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-11 | 2024-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-11 | 2024-01-15 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-12-19 | 2024-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-31 | 2023-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2021-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | 2021-11-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-15 | 2021-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-17 | 2021-08-18 | 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 | 2021-06-17 | 2021-08-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-17 | 2021-08-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-17 | 2021-08-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-17 | 2021-08-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-17 | 2021-08-18 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-06-17 | 2021-08-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-18 | 2021-07-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-18 | 2021-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-18 | 2021-07-21 | 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 | 2021-06-18 | 2021-07-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-18 | 2021-07-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-18 | 2021-07-21 | 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 | 2021-06-18 | 2021-07-21 | 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 | 2021-06-18 | 2021-07-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-06-18 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-18 | 2021-07-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-04 | 2021-06-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-04 | 2021-05-19 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-12-16 | 2020-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-16 | 2020-01-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-12-16 | 2020-01-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-12-16 | 2020-01-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-16 | 2020-01-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-16 | 2020-01-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-16 | 2020-01-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-16 | 2020-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-16 | 2020-01-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-16 | 2020-01-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-16 | 2020-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-16 | 2020-01-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-16 | 2020-01-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-16 | 2020-01-13 | N |
| Post nurse staffing information every day. | Health | 2019-12-16 | 2020-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-16 | 2020-01-13 | 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 | 2019-12-16 | 2020-01-13 | N |
