A list of the most recent deficiencies for Greenfield Rehab and Nursing 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-06-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-04 | 2023-05-31 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-05-04 | 2023-05-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-04 | 2023-05-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-04 | 2023-05-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-04 | 2023-05-31 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-04 | 2023-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-05-31 | 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 | 2023-05-04 | 2023-05-31 | 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 | 2023-05-04 | 2023-05-31 | 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 | 2023-05-04 | 2023-05-31 | 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 | 2023-05-04 | 2023-05-31 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-05-04 | 2023-05-31 | 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 | 2023-05-04 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-05-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-04 | 2023-05-31 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-04 | 2023-05-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-04 | 2023-05-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-04 | 2023-05-31 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-04 | 2023-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-04 | 2023-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-04 | 2023-05-31 | 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 | 2022-12-08 | 2023-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-12-08 | 2023-01-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-14 | 2022-04-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-14 | 2022-04-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-02 | 2022-04-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-02 | 2022-04-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-07 | 2022-03-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-07 | 2022-03-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-07 | 2022-03-10 | 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 | 2022-02-07 | 2022-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-02-02 | 2022-03-04 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-02 | 2022-03-04 | 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 | 2022-02-02 | 2022-03-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-02-02 | 2022-03-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-02 | 2022-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-02 | 2022-03-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-02 | 2022-03-04 | 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 | 2022-02-02 | 2022-03-04 | 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 | 2022-02-02 | 2022-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-02 | 2022-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-03-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-02 | 2022-03-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-02 | 2022-03-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-02 | 2022-03-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-10 | 2021-12-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-26 | Y |
| Keep all essential equipment working safely. | Health | 2021-05-06 | 2021-05-26 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2020-02-27 | 2020-03-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-27 | 2020-03-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-27 | 2020-03-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-02-27 | 2020-03-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-27 | 2020-03-23 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-02-27 | 2020-03-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-27 | 2020-03-23 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2020-02-27 | 2020-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-03-23 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-03-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-03-23 | 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 | 2020-02-27 | 2020-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-03-23 | 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 | 2020-02-27 | 2020-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-23 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2020-02-27 | 2020-03-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-02-27 | 2020-03-23 | 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 | 2020-02-27 | 2020-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-27 | 2020-03-23 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-27 | 2020-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-23 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2020-02-27 | 2020-03-23 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2020-02-27 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-27 | 2020-03-23 | N |
| Keep all essential equipment working safely. | Health | 2020-02-27 | 2020-03-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-27 | 2020-03-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-03 | 2020-03-23 | 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 | 2020-03-03 | 2020-03-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-03 | 2020-03-23 | N |
