Deficiency Records for Greenfield Healthcare Center
Updated as of July 01, 2022
This is not the most recent data for Greenfield Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Greenfield Healthcare Center. 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 | 2022-05-09 | 2022-05-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-04-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-30 | 2022-04-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-04 | 2022-01-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-04 | 2022-01-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-10-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-05 | 2021-10-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-05 | 2021-08-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-05 | 2021-08-22 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-04 | 2021-06-03 | 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 | 2021-05-04 | 2021-06-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-05-04 | 2021-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-03 | 2021-06-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-03 | 2021-06-02 | 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 | 2021-05-03 | 2021-06-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-03 | 2021-06-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-03 | 2021-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-03 | 2021-06-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-05 | 2021-01-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-18 | 2020-10-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-18 | 2020-10-18 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-09-18 | 2020-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-18 | 2020-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-30 | 2020-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-02-28 | 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 | 2020-01-29 | 2020-02-28 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-01-22 | 2020-02-26 | 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 | 2020-01-22 | 2020-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-22 | 2020-02-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-13 | 2019-12-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-25 | 2019-12-25 | 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 | 2019-11-25 | 2019-12-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-25 | 2019-12-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-25 | 2019-12-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-25 | 2019-12-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-25 | 2019-12-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-25 | 2019-12-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-25 | 2019-12-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-25 | 2019-12-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-25 | 2019-12-25 | 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 | 2019-11-25 | 2019-12-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-25 | 2019-12-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-25 | 2019-12-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-25 | 2019-12-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-11-25 | 2019-12-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-25 | 2019-12-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-25 | 2019-12-25 | 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 | 2019-11-25 | 2019-12-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-25 | 2019-12-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-25 | 2019-12-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2019-11-25 | 2019-12-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-08 | 2019-11-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-08 | 2019-11-05 | Y |
| Post nurse staffing information every day. | Health | 2019-10-08 | 2019-11-05 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-08 | 2019-11-05 | 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 | 2019-09-06 | 2019-09-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-13 | 2019-09-06 | Y |
| Have policies on smoking. | Health | 2019-08-13 | 2019-09-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-31 | 2019-08-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-08-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-31 | 2019-08-27 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-17 | 2018-11-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-17 | 2018-11-26 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-10-17 | 2018-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-17 | 2018-11-26 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-10-17 | 2018-11-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-17 | 2018-11-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-17 | 2018-11-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-17 | 2018-11-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-17 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-10-17 | 2018-11-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-17 | 2018-11-16 | N |
