Deficiency Records for Gardenview Healthcare and Wellness Centre, LP
Updated as of March 01, 2024
A list of the most recent deficiencies for Gardenview Healthcare and Wellness Centre, LP. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-19 | 2024-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-02-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-29 | 2024-01-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-29 | 2024-01-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-29 | 2024-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | 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 | 2023-12-29 | 2024-01-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-29 | 2024-01-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-12-29 | 2024-01-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-29 | 2024-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-29 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-01-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-29 | 2024-01-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-29 | 2024-01-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-02 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-30 | 2023-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-25 | 2023-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-20 | 2022-11-07 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-29 | 2021-10-06 | 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 | 2021-07-29 | 2021-10-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-29 | 2021-10-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-30 | 2021-09-01 | 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 | 2021-07-30 | 2021-09-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-30 | 2021-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-30 | 2021-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-30 | 2021-09-01 | 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 | 2021-07-30 | 2021-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-30 | 2021-09-01 | 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 | 2021-07-30 | 2021-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-09-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-05 | 2021-08-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-06 | 2021-08-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-11 | 2019-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-08-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-11 | 2019-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-01 | 2019-07-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-01 | 2019-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-01 | 2019-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-01 | 2019-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-01 | 2019-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-01 | 2019-07-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-01 | 2019-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-01 | 2019-07-29 | 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 | 2019-07-01 | 2019-07-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-01 | 2019-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-01 | 2019-07-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-01 | 2019-07-29 | N |
