Deficiency Records for The Grove of Lagrange Park
Updated as of August 01, 2016
This is not the most recent data for The Grove of Lagrange Park. For the most recent information, click here.
A list of the most recent deficiencies for The Grove of Lagrange Park. 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? |
|---|---|---|---|---|
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-30 | 2015-11-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-30 | 2015-11-20 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-09-30 | 2015-11-20 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-09-30 | 2015-11-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-10-02 | 2015-10-25 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-10-02 | 2015-10-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-02 | 2015-10-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-10-02 | 2015-10-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-02 | 2015-10-25 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-30 | 2015-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-30 | 2015-01-17 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-08-13 | 2014-09-20 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-13 | 2014-09-20 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-08-13 | 2014-09-20 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-08-13 | 2014-09-20 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2014-08-13 | 2014-09-20 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Portable fire extinguishers. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-08-13 | 2014-09-05 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2014-08-14 | 2014-09-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2014-08-14 | 2014-09-02 | N |
| Provide residents with private access to a telephone. | Health | 2014-08-14 | 2014-09-02 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-08-14 | 2014-09-02 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-08-14 | 2014-09-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-08-14 | 2014-09-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-08-14 | 2014-09-02 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-08-14 | 2014-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-14 | 2014-09-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-08-14 | 2014-09-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-08-14 | 2014-09-02 | N |
| Dispose of garbage and refuse properly. | Health | 2014-08-14 | 2014-09-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-08-14 | 2014-09-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-01-13 | 2014-01-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-01-13 | 2014-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-08-28 | 2013-10-04 | Y |
| Approved construction type or materials. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Portable fire extinguishers. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2013-07-30 | 2013-09-14 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2013-07-30 | 2013-09-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2013-07-26 | 2013-08-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-07-26 | 2013-08-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-07-26 | 2013-08-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-07-26 | 2013-08-29 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2013-07-26 | 2013-08-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-07-26 | 2013-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-07-26 | 2013-08-29 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2013-07-26 | 2013-08-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-07-26 | 2013-08-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-07-26 | 2013-08-29 | N |
