Deficiency Records for The Grandview Nursing and Rehabilitation Facility
Updated as of September 01, 2020
This is not the most recent data for The Grandview Nursing and Rehabilitation Facility. For the most recent information, click here.
A list of the most recent deficiencies for The Grandview Nursing and Rehabilitation Facility. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-07-11 | 2019-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-08-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-11 | 2019-08-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-25 | 2019-05-18 | 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 | 2019-04-25 | 2019-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-25 | 2019-05-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-25 | 2019-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-23 | 2019-05-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-28 | 2019-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-24 | 2018-10-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-24 | 2018-10-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-24 | 2018-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-24 | 2018-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-10-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-24 | 2018-10-10 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-08-24 | 2018-10-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-24 | 2018-10-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-24 | 2018-10-10 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-24 | 2018-10-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-24 | 2018-10-10 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-08-24 | 2018-10-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-24 | 2018-10-10 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-24 | 2018-10-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-20 | 2018-10-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-20 | 2018-10-10 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-07-20 | 2018-10-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-20 | 2018-10-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-20 | 2018-10-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-20 | 2018-10-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-20 | 2018-10-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-20 | 2018-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-20 | 2018-10-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-07-20 | 2018-10-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-07-20 | 2018-10-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-20 | 2018-10-10 | Y |
| 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 | 2018-07-20 | 2018-10-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-20 | 2018-10-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-20 | 2018-10-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-07-20 | 2018-10-10 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-07-20 | 2018-10-10 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-20 | 2018-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-07-20 | 2018-10-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-22 | 2018-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-22 | 2018-04-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-22 | 2018-04-17 | 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 | 2018-03-22 | 2018-04-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-26 | 2017-11-29 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-11-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-28 | 2017-04-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-03-28 | 2017-04-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-29 | 2017-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-29 | 2017-04-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-29 | 2017-04-27 | N |
