Deficiency Records for Harold and Grace Upjohn Community Care Center
Updated as of November 01, 2021
This is not the most recent data for Harold and Grace Upjohn Community Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Harold and Grace Upjohn Community Care Center. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-31 | 2021-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-31 | 2021-09-19 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-30 | 2021-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-03 | 2021-02-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-10 | 2021-01-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-10 | 2021-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-10 | 2021-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-09 | 2020-05-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-13 | 2020-03-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-06 | 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 | 2019-12-18 | 2020-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-18 | 2020-02-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-19 | 2020-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-01-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-19 | 2020-01-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-19 | 2020-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-19 | 2020-01-28 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-19 | 2020-01-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-19 | 2020-01-28 | 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 | 2019-12-19 | 2020-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-19 | 2020-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-19 | 2020-01-28 | 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 | 2019-12-19 | 2020-01-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-24 | 2019-08-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-24 | 2019-08-27 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-04 | 2019-05-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-07 | 2019-01-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-28 | 2018-11-07 | 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 | 2018-09-28 | 2018-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-28 | 2018-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-28 | 2018-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-28 | 2018-11-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-28 | 2018-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-01 | 2018-11-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-01 | 2018-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-01 | 2018-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-01 | 2018-11-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-30 | 2017-09-22 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-30 | 2017-09-22 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-08-30 | 2017-09-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-30 | 2017-09-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-30 | 2017-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-30 | 2017-09-22 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-30 | 2017-09-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-30 | 2017-09-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-30 | 2017-09-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-30 | 2017-09-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-30 | 2017-09-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-30 | 2017-09-22 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-08-31 | 2017-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-31 | 2017-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-31 | 2017-09-22 | N |
