Deficiency Records for Grandview Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Grandview Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-09 | 2024-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2024-02-17 | 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 | 2023-11-09 | 2024-02-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-09 | 2024-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2024-02-17 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-11-09 | 2024-02-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-09 | 2024-02-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2024-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2023-12-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-09 | 2023-12-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-09 | 2023-12-21 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-09 | 2023-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-09 | 2023-12-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-09 | 2023-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-09 | 2023-12-21 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-09 | 2023-12-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | 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 | 2023-11-09 | 2023-12-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-11-09 | 2023-12-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-09 | 2023-12-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-11-09 | 2023-12-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-09 | 2023-12-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-30 | 2023-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-30 | 2023-12-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-30 | 2023-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-30 | 2023-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-30 | 2023-12-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-09 | 2023-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-19 | 2023-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-19 | 2023-10-16 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-25 | 2023-06-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-25 | 2023-06-14 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-25 | 2023-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-25 | 2023-06-14 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-04-25 | 2023-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-02 | 2023-06-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-02 | 2023-06-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-05-02 | 2023-06-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-02 | 2023-06-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-02 | 2023-06-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-02 | 2023-06-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-02 | 2023-06-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-02 | 2023-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-02 | 2023-06-05 | 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 | 2023-05-02 | 2023-06-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-02 | 2023-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-02 | 2023-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-06-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-02 | 2023-06-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-05-02 | 2023-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-06-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-02 | 2023-06-05 | 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 | 2023-05-02 | 2023-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-04-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-08 | 2023-02-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-23 | 2022-12-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-23 | 2022-12-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-22 | 2022-12-02 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-08-22 | 2022-12-02 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-22 | 2022-12-02 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-22 | 2022-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-22 | 2022-11-22 | Y |
| 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 | 2022-08-22 | 2022-11-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-22 | 2022-11-22 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-22 | 2022-11-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-22 | 2022-11-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-22 | 2022-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-28 | 2022-11-14 | Y |
| 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 | 2022-10-28 | 2022-11-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-11-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-28 | 2022-11-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-11-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-28 | 2022-11-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-28 | 2022-11-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-28 | 2022-11-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-28 | 2022-11-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-28 | 2022-11-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-12 | 2022-11-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-10-12 | 2022-11-14 | 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 | 2022-10-12 | 2022-11-14 | 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 | 2022-10-12 | 2022-11-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-12 | 2022-11-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-12 | 2022-11-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-12 | 2022-11-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-12 | 2022-11-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-12 | 2022-11-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-12 | 2022-11-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-12 | 2022-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-12 | 2022-11-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-12 | 2022-11-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-12 | 2022-11-14 | N |
| Report COVID19 data to residents and families. | Health | 2022-10-12 | 2022-11-14 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-12 | 2022-11-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-12 | 2022-11-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-12 | 2022-11-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-12 | 2022-11-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-12 | 2022-11-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-12 | 2022-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-11-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-12 | 2022-11-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-28 | 2022-10-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-28 | 2022-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-02 | 2022-09-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-22 | 2022-08-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-14 | 2021-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-14 | 2021-11-06 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-09-14 | 2021-11-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-14 | 2021-09-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-09-14 | 2021-09-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-25 | 2021-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-07-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-04 | 2021-06-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-04 | 2021-06-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-04 | 2021-06-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-04 | 2021-06-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-06-03 | Y |
