Deficiency Records for Garden View Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Garden View Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-22 | 2023-01-21 | 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 | 2022-12-22 | 2023-01-21 | N |
| Provide appropriate foot care. | Health | 2022-12-22 | 2023-01-21 | 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 | 2022-12-22 | 2023-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-22 | 2023-01-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-22 | 2023-01-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-22 | 2023-01-21 | 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 | 2022-12-22 | 2023-01-21 | 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 | 2022-12-22 | 2023-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-20 | 2023-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-01-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-20 | 2023-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-06 | 2022-07-25 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-07-06 | 2022-07-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-06 | 2022-07-25 | 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 | 2022-07-06 | 2022-07-25 | 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 | 2021-09-30 | 2021-10-30 | 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 | 2021-09-30 | 2021-10-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-30 | 2021-10-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-30 | 2021-10-30 | 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 | 2021-09-30 | 2021-10-30 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2021-09-30 | 2021-10-30 | N |
| Post nurse staffing information every day. | Health | 2021-09-30 | 2021-10-30 | Y |
| 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 | 2021-09-29 | 2021-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-29 | 2021-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-29 | 2021-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-03 | 2021-09-03 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-04 | 2021-06-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-04 | 2021-06-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-21 | 2020-03-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-21 | 2020-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-21 | 2020-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-21 | 2020-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-21 | 2020-03-21 | N |
| Post nurse staffing information every day. | Health | 2020-02-21 | 2020-03-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-21 | 2020-03-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-21 | 2020-03-21 | 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 | 2020-02-21 | 2020-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-18 | 2020-03-18 | N |
