A list of the most recent deficiencies for Vi at The Glen. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-25 | 2023-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-10-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-25 | 2023-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-25 | 2023-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-30 | 2023-09-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-30 | 2023-09-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-14 | 2022-08-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-14 | 2022-08-28 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-07-14 | 2022-08-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-07-14 | 2022-08-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-14 | 2022-08-28 | 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 | 2021-05-07 | 2021-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-06-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-05 | 2021-06-07 | N |
