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 |