Deficiency Records for Greenfield Rehab and Nursing Center
Updated as of November 01, 2020
This is not the most recent data for Greenfield Rehab and Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Be properly staffed | Fire Safety | 2020-03-03 | 2020-03-23 | N |
| 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 |
| 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 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 |
| 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 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 |
| 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 |
| 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 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-27 | 2020-03-23 | Y |
| 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 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-03-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-03-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-03-23 | Y |
| 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 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-02-27 | 2020-03-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-27 | 2020-03-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-14 | 2020-01-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-14 | 2020-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-19 | 2020-01-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-19 | 2019-12-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-19 | 2019-12-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-19 | 2019-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-31 | 2019-08-26 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-07-31 | 2019-08-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-22 | 2019-08-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-17 | 2019-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-08-26 | 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 | 2019-07-17 | 2019-08-26 | Y |
| 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 | 2019-05-14 | 2019-06-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-14 | 2019-06-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-14 | 2019-06-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-14 | 2019-06-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-20 | 2019-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-20 | 2019-03-01 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-11-29 | 2019-02-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-29 | 2019-01-16 | 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 | 2018-11-29 | 2019-01-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Be properly staffed | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-29 | 2019-01-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-28 | 2019-01-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-28 | 2019-01-04 | 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 | 2018-11-28 | 2019-01-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-28 | 2019-01-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-28 | 2019-01-04 | 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 | 2018-11-28 | 2019-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-28 | 2019-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-28 | 2019-01-04 | 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 | 2018-11-28 | 2019-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-28 | 2019-01-04 | 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 | 2018-11-28 | 2019-01-04 | 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 | 2018-11-28 | 2019-01-04 | N |
| Post nurse staffing information every day. | Health | 2018-11-28 | 2019-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-28 | 2019-01-04 | 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 | 2018-11-28 | 2019-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-28 | 2019-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-28 | 2019-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-28 | 2019-01-04 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-10-02 | 2018-10-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-19 | 2018-07-26 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-25 | 2018-07-16 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-25 | 2018-07-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-04 | 2018-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-04 | 2018-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-21 | 2018-01-03 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-25 | 2017-09-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-08-25 | 2017-09-27 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-08-24 | 2017-09-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-24 | 2017-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-24 | 2017-09-27 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-24 | 2017-09-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-24 | 2017-09-27 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-24 | 2017-09-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-24 | 2017-09-27 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-24 | 2017-09-27 | 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 | 2017-08-24 | 2017-09-27 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-24 | 2017-09-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-24 | 2017-09-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-24 | 2017-09-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-24 | 2017-09-27 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-24 | 2017-09-27 | 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 | 2017-08-24 | 2017-09-27 | Y |
