Deficiency Records for The Grove Post-Acute
Updated as of February 01, 2018
This is not the most recent data for The Grove Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for The Grove Post-Acute. 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? |
|---|---|---|---|---|
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-26 | 2017-11-07 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-04-10 | 2017-04-26 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-17 | 2017-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-17 | 2017-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-17 | 2017-02-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-17 | 2017-02-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-01-17 | 2017-02-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-13 | 2017-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-06 | 2017-02-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-06 | 2017-02-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-06 | 2017-02-09 | N |
| Keep all essential equipment working safely. | Health | 2017-01-06 | 2017-02-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-01-06 | 2017-02-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-22 | 2016-08-31 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-07-14 | 2016-08-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-16 | 2016-03-03 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-16 | 2016-03-03 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-16 | 2016-03-03 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-10 | 2016-03-02 | Y |
| Approved construction type or materials. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-06 | 2016-02-11 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-12-17 | 2016-01-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-12-17 | 2016-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-12-17 | 2016-01-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-17 | 2016-01-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-17 | 2016-01-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-10 | 2015-08-24 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-10 | 2015-08-24 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2015-03-17 | 2015-04-09 | Y |
| Approved construction type or materials. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-13 | 2015-04-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-01-09 | 2015-02-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-09 | 2015-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-09 | 2015-02-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-01-09 | 2015-02-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-09 | 2015-02-19 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-01-09 | 2015-02-19 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-01-09 | 2015-02-19 | N |
