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? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-15 | 2023-06-15 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-11 | 2023-06-11 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-05-11 | 2023-06-11 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-05-11 | 2023-06-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-06-11 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-11 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-11 | 2023-06-11 | N |
Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-05-11 | 2023-06-11 | N |
Respond appropriately to all alleged violations. | Health | 2023-05-11 | 2023-06-11 | Y |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-15 | 2023-05-31 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-15 | 2023-05-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-15 | 2023-05-24 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-05-15 | 2023-05-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-15 | 2023-05-15 | N |
Assess the resident when there is a significant change in condition | Health | 2022-01-06 | 2022-02-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-17 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-17 | N |
Ensure a qualified health professional conducts resident assessments. | Health | 2022-01-06 | 2022-02-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-17 | Y |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-04 | 2022-01-28 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-04 | 2022-01-21 | 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 | 2022-01-18 | 2022-01-19 | Y |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-01-04 | 2022-01-17 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-04 | 2022-01-05 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-04 | 2022-01-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-04 | 2022-01-04 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-15 | 2021-07-22 | Y |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-19 | 2019-10-18 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-09-19 | 2019-10-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-10-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-23 | 2019-10-01 | N |