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Deficiency Records for Harold and Grace Upjohn Community Care Center

View the most recent health deficiencies and inspection results for Harold and Grace Upjohn Community Care Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Harold and Grace Upjohn Community Care Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Reasonably accommodate the needs and preferences of each resident. Health 2026-04-17 2026-05-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-04-17 2026-05-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-04-17 2026-05-15 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2026-04-17 2026-05-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-09-17 2025-10-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-09-17 2025-10-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-09-17 2025-10-24 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2025-08-05 2025-08-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-05 2025-08-29 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-03-12 2025-05-01 N
Assist a resident in gaining access to vision and hearing services. Health 2025-03-12 2025-04-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-12 2025-04-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2025-03-12 2025-04-21 N
Keep residents' personal and medical records private and confidential. Health 2025-03-12 2025-04-21 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 2025-03-12 2025-04-21 N
Conduct testing and exercise requirements. Fire Safety 2025-03-12 2025-04-21 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2025-03-12 2025-04-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-03-12 2025-04-21 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-03-12 2025-04-21 N
Provide and implement an infection prevention and control program. Health 2025-03-12 2025-04-21 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2025-03-12 2025-04-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-03-12 2025-04-21 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2025-03-12 2025-04-21 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2025-03-12 2025-04-21 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2025-03-12 2025-04-21 N
Have exits that are accessible at all times. Fire Safety 2025-03-12 2025-04-21 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-03-12 2025-04-21 N
Provide a written emergency evacuation plan. Fire Safety 2025-03-12 2025-04-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-03-12 2025-04-21 N
Have restrictions on the use of portable space heaters. Fire Safety 2025-03-12 2025-04-21 N
Provide and implement an infection prevention and control program. Health 2024-12-27 2025-01-31 Y
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2024-05-23 2024-06-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-05-23 2024-06-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-23 2024-06-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-23 2024-06-28 N
Ensure each resident receives an accurate assessment. Health 2024-05-23 2024-06-28 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-05-23 2024-06-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-23 2024-06-28 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-05-23 2024-06-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-23 2024-06-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-23 2024-06-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-23 2024-06-28 N
Have an externally vented heating system. Fire Safety 2024-05-23 2024-06-28 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-05-23 2024-06-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-23 2024-06-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-05-23 2024-06-28 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 2024-05-23 2024-06-28 N
Provide and implement an infection prevention and control program. Health 2024-05-23 2024-06-28 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-23 2024-06-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-05-23 2024-06-28 Y
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 2024-05-23 2024-06-28 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 2024-04-17 2024-05-10 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-04-17 2024-05-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-17 2024-03-01 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-11-20 2023-12-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-20 2023-12-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-20 2023-12-19 Y
Respond appropriately to all alleged violations. Health 2023-11-20 2023-12-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-20 2023-12-19 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-11-20 2023-12-19 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-19 2023-05-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-04-19 2023-05-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-19 2023-05-26 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 2023-04-19 2023-05-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-19 2023-05-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-19 2023-05-26 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 2023-04-19 2023-05-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-19 2023-05-26 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-19 2023-05-26 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-04-19 2023-05-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-19 2023-05-26 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-04-19 2023-05-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-19 2023-05-26 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-04-19 2023-05-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-19 2023-05-26 N
Address subsistence needs for staff and patients. Fire Safety 2023-04-19 2023-05-26 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-04-19 2023-05-26 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-04-19 2023-05-26 N
Provide properly protected cooking facilities. Fire Safety 2023-04-19 2023-05-26 N
Construct fire resistant interior walls. Fire Safety 2023-04-19 2023-05-26 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-19 2023-05-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-19 2023-05-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-19 2023-05-26 N

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