Deficiency Records for Glen Haven Village
Updated as of February 01, 2019
This is not the most recent data for Glen Haven Village. For the most recent information, click here.
A list of the most recent deficiencies for Glen Haven Village. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-18 | 2018-10-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-18 | 2018-10-04 | 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 | 2018-09-13 | 2018-10-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-13 | 2018-10-04 | 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 | 2018-09-13 | 2018-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-10-04 | 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 | 2018-09-13 | 2018-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-13 | 2018-10-04 | 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 ne | Health | 2018-09-13 | 2018-10-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-13 | 2018-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-10-04 | Y |
| 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 | 2018-09-18 | 2018-09-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-18 | 2018-09-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-18 | 2018-09-20 | N |
| Be properly staffed | Fire Safety | 2018-09-18 | 2018-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-18 | 2018-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-09-14 | Y |
| 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 | 2018-03-15 | 2018-04-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-15 | 2018-04-01 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-03-15 | 2018-04-01 | Y |
| 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 | 2018-03-15 | 2018-04-01 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2018-03-16 | 2018-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-16 | 2018-03-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-16 | 2018-03-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-16 | 2018-03-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-16 | 2018-03-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-16 | 2018-03-19 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-16 | 2018-03-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-16 | 2018-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-16 | 2018-03-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-14 | 2017-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-21 | 2017-10-06 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-09-14 | 2017-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-14 | 2017-10-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-09-14 | 2017-10-06 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-14 | 2017-10-06 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-21 | 2017-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-21 | 2017-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-14 | 2017-09-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-21 | 2017-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-27 | 2017-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-04-28 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-23 | 2017-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-17 | 2016-12-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-21 | 2016-11-11 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-21 | 2016-11-11 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-10-21 | 2016-11-11 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-21 | 2016-11-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-05 | 2016-11-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-05 | 2016-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-28 | 2016-07-12 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-28 | 2016-05-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-28 | 2016-05-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-28 | 2016-05-28 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-28 | 2016-05-28 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-04-28 | 2016-05-28 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-28 | 2016-05-28 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-04-28 | 2016-05-28 | Y |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-04-28 | 2016-05-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-28 | 2016-05-28 | Y |
