Deficiency Records for Hamilton Grove
Updated as of April 01, 2023
This is not the most recent data for Hamilton Grove. For the most recent information, click here.
A list of the most recent deficiencies for Hamilton Grove. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-06 | 2022-07-07 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-06 | 2022-07-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-06 | 2022-07-07 | Y |
Respond appropriately to all alleged violations. | Health | 2022-07-06 | 2022-07-07 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-26 | 2022-06-21 | Y |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-26 | 2022-06-21 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-26 | 2022-06-21 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-26 | 2022-06-21 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-26 | 2022-06-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-26 | 2022-06-21 | N |
Provide activities to meet all resident's needs. | Health | 2022-04-26 | 2022-06-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-06-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-26 | 2022-06-21 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | 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 | 2022-04-26 | 2022-06-21 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-04-26 | 2022-06-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Meet other general requirements. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-03 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-02 | 2021-05-02 | 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 | 2021-04-02 | 2021-05-02 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-02 | 2021-05-02 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-02 | 2021-05-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-06-12 | 2020-07-25 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-03-09 | 2020-04-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-09 | 2020-04-08 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-03-09 | 2020-04-08 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-09 | 2020-04-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-09 | 2020-04-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-09 | 2020-04-08 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-01-13 | 2020-02-12 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-13 | 2020-02-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-13 | 2020-02-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-13 | 2020-02-12 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Provide family notifications of emergency plan. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-18 | 2019-01-17 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-20 | 2018-12-20 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-20 | 2018-12-20 | 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 | 2018-11-20 | 2018-12-20 | N |
Assess the resident when there is a significant change in condition | Health | 2018-11-20 | 2018-12-20 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-20 | 2018-12-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2018-12-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-20 | 2018-12-20 | 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 | 2018-11-20 | 2018-12-20 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2018-12-20 | N |