Deficiency Records for Granger Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Granger Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-20 | 2024-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-15 | 2024-03-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-15 | 2024-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-15 | 2024-03-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-15 | 2024-03-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-15 | 2024-03-15 | 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 | 2024-02-15 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-03-15 | 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 | 2024-02-15 | 2024-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-15 | 2024-03-15 | 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 | 2024-02-15 | 2024-03-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-15 | 2024-03-15 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-15 | 2024-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-03-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-20 | 2024-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-20 | 2024-03-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-20 | 2024-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-20 | 2024-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-20 | 2024-03-01 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-20 | 2024-02-26 | 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 | 2024-02-20 | 2024-02-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-20 | 2024-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-20 | 2024-02-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-20 | 2024-02-23 | 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 | 2023-02-09 | 2023-03-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-03 | 2023-02-28 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-03 | 2023-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-03 | 2023-02-28 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-03 | 2023-02-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-03 | 2023-02-28 | Y |
| 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 | 2023-02-03 | 2023-02-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-03 | 2023-02-28 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-02-03 | 2023-02-28 | Y |
| 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 | 2023-02-03 | 2023-02-28 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-03 | 2023-02-28 | Y |
| 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 | 2023-02-03 | 2023-02-28 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-03 | 2023-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-03 | 2023-02-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-03 | 2023-02-28 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-02-03 | 2023-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-28 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-02-03 | 2023-02-28 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-02-03 | 2023-02-28 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-02-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-02-09 | 2023-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-02-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-09 | 2023-02-21 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-09-29 | 2022-11-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-29 | 2022-11-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-29 | 2022-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-29 | 2022-11-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-29 | 2022-11-16 | 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 | 2022-09-29 | 2022-11-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-29 | 2022-11-16 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-09-29 | 2022-11-16 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-19 | 2021-11-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-19 | 2021-11-18 | 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 | 2021-10-19 | 2021-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-19 | 2021-11-18 | 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 | 2021-10-19 | 2021-11-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-19 | 2021-11-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-19 | 2021-11-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-19 | 2021-11-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-19 | 2021-11-18 | 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 | 2021-10-19 | 2021-11-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-19 | 2021-11-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-19 | 2021-11-18 | Y |
| Keep all essential equipment working safely. | Health | 2021-10-19 | 2021-11-18 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-12 | 2021-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-11-04 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-12 | 2021-11-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-10-12 | 2021-10-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-10-12 | 2021-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-12 | 2021-10-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-10-19 | 2021-10-20 | Y |
