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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2023-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-04 | 2023-10-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-25 | 2023-09-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-15 | 2023-08-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-15 | 2023-08-31 | 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 | 2023-08-15 | 2023-08-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-15 | 2023-08-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-15 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-18 | 2023-02-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-24 | 2022-09-21 | Y |
| 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 | 2022-08-24 | 2022-09-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-21 | Y |
| 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 | 2022-07-26 | 2022-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-09-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-26 | 2022-08-26 | 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 | 2022-07-26 | 2022-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-08-26 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-26 | 2022-08-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-26 | 2022-08-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-26 | 2022-08-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-26 | 2022-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-07-20 | 2022-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-24 | 2022-07-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-24 | 2022-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-02 | 2022-05-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-02 | 2022-05-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-14 | 2022-02-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-14 | 2022-02-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-14 | 2022-02-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-27 | 2022-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-14 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
