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Deficiency Records for Carvalho Grove Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Carvalho Grove Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Carvalho Grove Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-03 | 2026-02-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-03 | 2026-02-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-03 | 2026-02-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-03 | 2026-02-23 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-02-19 | 2025-03-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-02-19 | 2025-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-19 | 2025-03-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-02-19 | 2025-03-28 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2025-02-19 | 2025-03-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-19 | 2025-03-28 | 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 | 2025-02-19 | 2025-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-19 | 2025-03-28 | 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 | 2025-02-19 | 2025-03-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-02-19 | 2025-03-28 | 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 | 2025-02-19 | 2025-03-28 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-02-19 | 2025-03-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-19 | 2025-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-19 | 2025-03-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-19 | 2025-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-19 | 2025-03-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-19 | 2025-03-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-19 | 2025-03-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-19 | 2025-03-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-02-19 | 2025-03-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-19 | 2025-03-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-02-19 | 2025-03-28 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-02-19 | 2025-03-28 | 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 | 2024-09-10 | 2024-10-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-10 | 2024-10-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-10 | 2024-10-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-27 | 2024-02-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-27 | 2024-02-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-27 | 2024-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-27 | 2024-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-27 | 2024-02-01 | N |
| 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 | 2023-12-27 | 2024-02-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-27 | 2024-02-01 | 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 | 2023-12-27 | 2024-02-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-27 | 2024-02-01 | 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 | 2023-12-27 | 2024-02-01 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-27 | 2024-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-27 | 2024-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-27 | 2024-02-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-19 | 2022-01-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-19 | 2022-01-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-19 | 2022-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2022-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | N |
| Provide or obtain dental services for each resident. | Health | 2021-11-19 | 2022-01-06 | N |