Deficiency Records for Glen Haven Village
Updated as of February 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| 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 | 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 |
| 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 |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-18 | 2018-10-04 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 | N |
