Deficiency Records for Grayling Nursing and Rehab Community
Updated as of March 01, 2024
A list of the most recent deficiencies for Grayling Nursing and Rehab Community. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-16 | 2024-02-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-16 | 2024-02-08 | 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 | 2023-01-05 | 2023-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-05 | 2023-02-13 | 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 | 2023-01-05 | 2023-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-13 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-01-05 | 2023-02-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-04 | 2023-02-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-10 | 2022-09-07 | 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 | 2021-09-23 | 2021-10-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-10-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-10-26 | 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 | 2021-09-23 | 2021-10-26 | 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 | 2021-09-23 | 2021-10-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-09-23 | 2021-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-10-26 | N |
| Keep all essential equipment working safely. | Health | 2021-09-23 | 2021-10-26 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-09-23 | 2021-10-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-10-26 | 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 | 2021-09-29 | 2021-10-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-29 | 2021-10-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-29 | 2021-10-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-29 | 2021-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-29 | 2021-10-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-28 | 2021-08-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-17 | 2020-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-17 | 2020-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-17 | 2020-01-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-17 | 2020-01-21 | 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 | 2019-12-17 | 2020-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-17 | 2020-01-21 | 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 | 2019-12-17 | 2020-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-17 | 2020-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-17 | 2020-01-21 | 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 | 2019-12-17 | 2020-01-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-12-17 | 2020-01-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-17 | 2020-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-17 | 2020-01-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-12-17 | 2020-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-17 | 2020-01-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-17 | 2020-01-21 | 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 | 2019-12-19 | 2020-01-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-19 | 2020-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-19 | 2020-01-21 | N |
