A list of the most recent deficiencies for Grace Home Inc.. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-07-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-03 | 2022-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-03 | 2022-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-03 | 2022-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-03 | 2022-08-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-11 | 2019-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-11 | 2019-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-11 | 2019-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-11 | 2019-06-10 | 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 | 2019-04-11 | 2019-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-06-10 | 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 | 2019-04-11 | 2019-06-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-11 | 2019-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-06-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-11 | 2019-06-10 | 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 | 2018-06-29 | 2018-08-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-29 | 2018-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-29 | 2018-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-29 | 2018-08-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-06-29 | 2018-08-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-17 | 2018-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-17 | 2018-07-31 | N |
