Deficiency Records for Glen Haven Village
Updated as of June 01, 2023
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 |
| 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-03 | 2020-07-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-07-03 | 2020-07-04 | 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 |
