Deficiency Records for Glen Haven Village
Updated as of November 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? |
---|---|---|---|---|
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 |
Perform COVID19 testing on residents and staff. | 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 |
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 |
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 |
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 |