A list of the most recent deficiencies for Gracemore Nursing and Rehab. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-21 | 2024-03-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-21 | 2024-03-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-20 | 2024-03-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-20 | 2024-03-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-20 | 2024-03-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-20 | 2024-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-20 | 2024-03-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-03-17 | 2022-05-01 | 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 | 2022-03-17 | 2022-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-30 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-11-14 | 2019-12-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
