Deficiency Records for Corewell Health Gr Hosp Rehab and Nursing Ctr-Fuller
Updated as of November 01, 2019
This is not the most recent data for Corewell Health Gr Hosp Rehab and Nursing Ctr-Fuller. For the most recent information, click here.
A list of the most recent deficiencies for Corewell Health Gr Hosp Rehab and Nursing Ctr-Fuller. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-21 | 2019-09-18 | Y |
| 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 | 2019-05-15 | 2019-07-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-29 | 2019-06-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-29 | 2019-06-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-15 | 2019-06-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-15 | 2019-06-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-15 | 2019-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-06-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-19 | 2019-04-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-19 | 2019-04-05 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-29 | 2018-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-29 | 2018-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-29 | 2018-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-29 | 2018-10-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-30 | 2018-10-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-30 | 2018-10-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-30 | 2018-10-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-08-30 | 2018-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-10-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-08-30 | 2018-10-02 | 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 | 2018-08-30 | 2018-10-02 | 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 | 2018-08-30 | 2018-10-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-30 | 2018-10-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-30 | 2018-10-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-30 | 2018-10-02 | N |
| Post nurse staffing information every day. | Health | 2018-08-30 | 2018-10-02 | 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 ne | Health | 2018-08-30 | 2018-10-02 | 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 | 2018-08-30 | 2018-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-24 | 2018-10-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-24 | 2018-10-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-07 | 2018-06-22 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2017-11-02 | 2017-12-07 | Y |
| Allow residents to have visitors. | Health | 2017-11-02 | 2017-12-07 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-02 | 2017-12-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-02 | 2017-12-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-11-02 | 2017-12-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-02 | 2017-12-07 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-02 | 2017-12-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-11 | 2017-11-16 | 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 | 2017-10-11 | 2017-11-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-10-11 | 2017-11-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-12 | 2017-11-16 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-10-12 | 2017-11-16 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-10-12 | 2017-11-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-10-12 | 2017-11-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-12 | 2017-11-16 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-12 | 2017-11-16 | 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 | 2017-10-12 | 2017-11-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-12 | 2017-11-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-12 | 2017-11-16 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-10-12 | 2017-11-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-12 | 2017-11-16 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-03 | 2017-11-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-03 | 2017-11-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-04 | 2017-08-29 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-04 | 2017-08-29 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-26 | 2017-07-14 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-26 | 2017-07-14 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-26 | 2017-07-14 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-19 | 2017-07-14 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-02 | 2017-06-21 | N |
| Provide or obtain dental services for each resident. | Health | 2017-05-19 | 2017-06-06 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-02-02 | 2017-06-06 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-02 | 2017-06-06 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-02 | 2017-06-06 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-02-02 | 2017-06-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-29 | 2017-04-27 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-01-31 | 2017-04-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-01-31 | 2017-03-31 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-02 | 2017-03-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-02 | 2017-03-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-02-02 | 2017-03-30 | N |
| Provide resident groups or resident family groups with private space to meet. | Health | 2017-02-02 | 2017-03-30 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-02-02 | 2017-03-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-02 | 2017-03-30 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-02-02 | 2017-03-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-02 | 2017-03-30 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-02-02 | 2017-03-30 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-02 | 2017-03-30 | 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 | 2017-02-02 | 2017-03-30 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-02-02 | 2017-03-30 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-02 | 2017-03-30 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-02 | 2017-03-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-02 | 2017-03-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-02 | 2017-03-30 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-02-02 | 2017-03-30 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-02-02 | 2017-03-30 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-02-02 | 2017-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-10 | 2017-03-30 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-31 | 2017-03-08 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2017-01-31 | 2017-02-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-29 | 2016-12-30 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-11-29 | 2016-12-30 | Y |
