A list of the most recent deficiencies for Greenridge 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 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 | 2022-02-10 | 2022-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-17 | 2022-03-07 | 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 | 2022-02-17 | 2022-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-29 | 2021-07-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-16 | 2019-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-16 | 2019-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-16 | 2019-09-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-30 | 2019-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-30 | 2019-06-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-17 | 2018-06-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-05-17 | 2018-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-17 | 2018-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-17 | 2018-06-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-04-05 | 2018-05-05 | 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 | 2018-04-05 | 2018-05-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-05 | 2018-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-05 | 2018-05-05 | N |
| Post nurse staffing information every day. | Health | 2018-04-05 | 2018-05-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-05 | 2018-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-05 | 2018-05-05 | N |
