Deficiency Records for Glen Haven Village
Updated as of February 01, 2021
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? |
---|---|---|---|---|
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 | 2020-10-12 | 2020-10-30 | N |
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 |
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 |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-19 | 2019-10-18 | Y |
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 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-23 | 2019-10-01 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-13 | 2019-04-18 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-13 | 2019-04-18 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-13 | 2019-04-18 | N |
Respond appropriately to all alleged violations. | Health | 2019-03-13 | 2019-04-18 | N |
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 | 2019-03-13 | 2019-04-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-13 | 2019-04-18 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-18 | 2019-04-05 | N |
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 necessary and PRN use is limited. | 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 |
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 |