Deficiency Records for The Grove Health and Rehab Ctr
Updated as of October 01, 2021
This is not the most recent data for The Grove Health and Rehab Ctr. For the most recent information, click here.
A list of the most recent deficiencies for The Grove Health and Rehab Ctr. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-17 | 2021-07-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-15 | 2021-07-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-15 | 2021-07-23 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-17 | 2021-07-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Develop a communication plan. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-17 | 2021-07-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-06-17 | 2021-07-08 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-17 | 2021-07-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-17 | 2021-07-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-17 | 2021-07-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-17 | 2021-07-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-17 | 2021-07-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-17 | 2021-07-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-17 | 2021-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-17 | 2021-07-07 | 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 | 2021-06-17 | 2021-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-17 | 2021-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-17 | 2021-07-07 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-17 | 2021-07-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-06-17 | 2021-07-06 | 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 | 2021-06-17 | 2021-07-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-17 | 2021-07-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-17 | 2021-07-01 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-06-17 | 2021-06-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-15 | 2020-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-11 | 2020-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-20 | 2020-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-20 | 2020-03-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-27 | 2019-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-24 | 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 | 2019-06-27 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-28 | 2019-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-28 | 2019-07-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-27 | 2019-07-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-28 | 2019-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-11 | 2019-04-05 | 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 | 2019-03-11 | 2019-03-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-09-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-23 | 2018-09-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-08-23 | 2018-09-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-08-23 | 2018-09-19 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-08-23 | 2018-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-23 | 2018-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-23 | 2018-09-19 | 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 | 2018-08-23 | 2018-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-23 | 2018-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-23 | 2018-09-19 | 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 | 2018-08-23 | 2018-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-09-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-08-31 | 2018-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-31 | 2018-09-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-31 | 2018-09-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-31 | 2018-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-31 | 2018-09-02 | N |
