A list of the most recent deficiencies for Grimes Ynhcc. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-13 | 2022-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-13 | 2021-12-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-25 | 2021-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-06-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-18 | 2019-08-27 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-18 | 2019-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-27 | 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 | 2019-07-18 | 2019-08-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-18 | 2019-08-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-18 | 2019-08-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-18 | 2019-08-27 | 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 | 2019-07-18 | 2019-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-18 | 2019-08-27 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-09 | 2018-08-20 | 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 | 2018-05-09 | 2018-08-13 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-05-09 | 2018-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-15 | 2018-06-25 | 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 | 2018-05-15 | 2018-06-25 | 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 | 2018-05-15 | 2018-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-15 | 2018-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-15 | 2018-06-25 | 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 | 2018-05-15 | 2018-06-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-05-15 | 2018-06-25 | 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 | 2018-05-15 | 2018-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-15 | 2018-06-25 | N |
