CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Guardian Center
View the most recent health deficiencies and inspection results for The Guardian Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Guardian Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-10 | 2026-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-10 | 2026-01-12 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-30 | 2025-06-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-04-30 | 2025-06-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-04-30 | 2025-06-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-30 | 2025-06-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-30 | 2025-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-30 | 2025-06-03 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-04-30 | 2025-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-30 | 2025-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-23 | 2024-05-22 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-04-23 | 2024-05-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-23 | 2024-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-23 | 2024-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-23 | 2024-05-22 | N |
| 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 | 2024-04-23 | 2024-05-22 | 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 | 2024-04-23 | 2024-05-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-23 | 2024-05-08 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2024-04-23 | 2024-05-08 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2024-04-23 | 2024-05-08 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-10 | 2023-02-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-10 | 2023-02-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-10 | 2023-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2023-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-10 | 2023-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-10 | 2023-02-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-10 | 2023-02-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-10 | 2023-02-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-11-10 | 2023-02-21 | 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 | 2022-11-10 | 2023-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2023-02-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-10 | 2023-02-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-11-10 | 2023-02-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-10 | 2023-02-01 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-11-10 | 2023-02-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-10 | 2023-01-30 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2022-11-10 | 2023-01-30 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-11-10 | 2023-01-30 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-10 | 2022-12-21 | N |
| Provide training in compliance and ethics. | Health | 2022-11-10 | 2022-12-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-10 | 2022-12-21 | N |
| 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 | 2022-11-10 | 2022-12-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-10 | 2022-12-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-10 | 2022-12-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-11-10 | 2022-12-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-10 | 2022-12-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-10 | 2022-12-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2022-11-10 | 2022-12-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-11-10 | 2022-12-21 | 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 | 2022-11-10 | 2022-12-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-10 | 2022-12-21 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-10 | 2022-12-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-11-10 | 2022-12-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-11-10 | 2022-12-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-10 | 2022-12-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-10 | 2022-12-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-10 | 2022-12-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-10 | 2022-12-21 | 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 | 2022-11-10 | 2022-12-21 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-11-10 | 2022-12-21 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-10 | 2022-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-12-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-11-10 | 2022-12-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-10 | 2022-12-09 | N |