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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-20 | 2022-10-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-08 | 2022-09-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-17 | 2022-04-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-28 | 2022-03-31 | 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 | 2022-02-28 | 2022-03-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-28 | 2022-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-28 | 2022-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-28 | 2022-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-28 | 2022-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-28 | 2022-03-31 | 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 | 2022-02-28 | 2022-03-31 | 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 | 2022-02-28 | 2022-03-31 | 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 | 2022-02-28 | 2022-03-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-02-28 | 2022-03-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-28 | 2022-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-28 | 2022-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-28 | 2022-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-03-31 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-28 | 2022-03-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-28 | 2022-03-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-02 | 2022-03-29 | 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 | 2022-03-02 | 2022-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-02 | 2022-03-29 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-11 | 2022-03-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-12 | 2021-05-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-30 | 2021-05-21 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-13 | 2020-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-04-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-05 | 2020-04-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-05 | 2020-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-05 | 2020-04-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-02-21 | 2019-03-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-21 | 2019-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-21 | 2019-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-21 | 2019-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-21 | 2019-03-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-11 | 2019-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-11 | 2019-02-12 | 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 | 2019-01-11 | 2019-02-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-11 | 2019-02-12 | 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 | 2019-01-11 | 2019-02-12 | 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 | 2019-01-11 | 2019-02-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-01-11 | 2019-02-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-11 | 2019-02-12 | N |
