A list of the most recent deficiencies for Goldwater Pontiac Nursing Home. 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 and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-09-29 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-27 | 2023-08-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-27 | 2023-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-28 | 2023-08-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-28 | 2023-08-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-28 | 2023-08-07 | 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 | 2023-07-28 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-08-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-28 | 2023-08-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-28 | 2023-08-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-27 | 2023-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-27 | 2023-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-05-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-29 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-29 | 2022-12-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-15 | 2022-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-08-24 | 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 | 2022-08-12 | 2022-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-08-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-01 | 2022-06-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-01 | 2022-06-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-25 | 2022-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-25 | 2022-05-04 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-04-25 | 2022-05-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-08 | 2022-02-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-08 | 2022-02-25 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-02-08 | 2022-02-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-13 | 2021-10-19 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-09-23 | 2021-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-23 | 2021-10-05 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-08 | 2021-07-14 | 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 | 2021-06-04 | 2021-06-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-06-04 | 2021-06-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-04 | 2021-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-04 | 2021-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-04 | 2021-06-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-06-04 | 2021-06-23 | Y |
