Deficiency Records for Grossmont Post Acute Care
Updated as of February 01, 2019
This is not the most recent data for Grossmont Post Acute Care. For the most recent information, click here.
A list of the most recent deficiencies for Grossmont Post Acute Care. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2018-06-01 | 2018-08-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-06-01 | 2018-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-01 | 2018-08-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-01 | 2018-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-01 | 2018-08-10 | 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 | 2018-06-01 | 2018-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-01 | 2018-08-10 | 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 | 2018-06-01 | 2018-08-10 | 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 ne | Health | 2018-06-01 | 2018-08-10 | 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 | 2018-06-01 | 2018-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-01 | 2018-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-25 | 2018-07-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-25 | 2018-07-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-10 | 2018-06-07 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-12-13 | 2018-01-18 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-03-29 | 2017-05-11 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-28 | 2017-05-11 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-30 | 2017-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-10 | 2017-04-07 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-12 | 2016-05-10 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-04-12 | 2016-05-10 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-04-12 | 2016-05-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-03-24 | 2016-04-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-24 | 2016-04-12 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2016-02-25 | 2016-03-21 | Y |
