A list of the most recent deficiencies for The Guilford House. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-08 | 2024-02-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-23 | 2023-12-11 | 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 | 2023-10-23 | 2023-12-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-23 | 2023-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-23 | 2023-12-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-23 | 2023-12-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-23 | 2023-12-11 | 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 | 2023-10-23 | 2023-12-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-23 | 2023-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-23 | 2023-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-23 | 2023-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-23 | 2023-12-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-23 | 2023-12-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-20 | 2023-07-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-20 | 2023-07-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-10-20 | 2023-02-10 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-23 | 2021-11-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-09-27 | 2021-11-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-09-27 | 2021-11-17 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-09-27 | 2021-11-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-09-27 | 2021-11-17 | 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 | 2021-09-27 | 2021-11-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-27 | 2021-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-27 | 2021-11-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-05-06 | 2021-06-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-06 | 2021-06-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-06-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-29 | 2021-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-29 | 2021-04-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-03 | 2019-06-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-17 | 2019-06-26 | 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 | 2019-05-17 | 2019-06-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-03 | 2019-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-03 | 2019-06-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-17 | 2019-06-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-17 | 2019-06-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-17 | 2019-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-03 | 2019-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-17 | 2019-06-07 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-05-17 | 2019-06-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-17 | 2019-06-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-05-17 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-17 | 2019-06-07 | N |
