A list of the most recent deficiencies for The Gardens and Guardian. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-01-23 | 2024-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-23 | 2024-03-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-23 | 2024-03-08 | 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 | 2024-01-23 | 2024-03-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-23 | 2024-03-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-21 | 2023-08-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-21 | 2023-08-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-22 | 2023-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-22 | 2023-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-17 | 2022-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-17 | 2022-09-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-17 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-17 | 2022-09-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-17 | 2022-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-29 | 2022-08-12 | 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 | 2022-06-29 | 2022-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-08-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-06-29 | 2022-08-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-13 | 2019-07-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-06-13 | 2019-07-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-06-13 | 2019-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-26 | N |
