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 |
