A list of the most recent deficiencies for Greencroft Healthcare. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-19 | 2023-10-11 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| Meet other general requirements. | Fire Safety | 2023-06-05 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-05 | 2023-08-01 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-06-05 | 2023-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-05 | 2023-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-05 | 2023-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-05 | 2023-08-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-05 | 2023-07-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-23 | 2023-06-30 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-23 | 2023-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-23 | 2023-06-30 | 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 | 2023-05-23 | 2023-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-23 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-11-30 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-01 | 2020-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-01 | 2020-09-25 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2020-09-01 | 2020-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-01 | 2020-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-01 | 2020-09-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-11 | 2020-03-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-11 | 2020-03-18 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-11 | 2020-03-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-11 | 2020-03-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-11 | 2020-03-18 | 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 | 2020-02-11 | 2020-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-11 | 2020-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-11 | 2020-03-18 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-02-11 | 2020-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-11 | 2020-03-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-11 | 2019-04-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-19 | 2019-04-09 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-19 | 2019-04-09 | 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 | 2019-02-19 | 2019-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-19 | 2019-04-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-02-19 | 2019-04-09 | 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 | 2019-02-19 | 2019-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-19 | 2019-04-09 | N |
