Deficiency Records for Greentree of Hubbell Rehab and Health
Updated as of March 01, 2024
A list of the most recent deficiencies for Greentree of Hubbell Rehab and Health. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-19 | 2024-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-19 | 2024-01-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-19 | 2024-01-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-19 | 2024-01-22 | N |
| Post nurse staffing information every day. | Health | 2023-12-19 | 2024-01-22 | 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 | 2023-12-19 | 2024-01-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-19 | 2024-01-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-19 | 2024-01-22 | 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 | 2023-12-19 | 2024-01-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-19 | 2024-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-19 | 2024-01-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-19 | 2024-01-22 | 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 | 2023-12-19 | 2024-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-12-19 | 2024-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-02 | 2023-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-30 | Y |
| 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 | 2023-06-02 | 2023-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-02 | 2023-06-13 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-02 | 2023-06-13 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-02 | 2023-02-28 | 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 | 2023-02-02 | 2023-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-01 | 2023-02-28 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-26 | 2022-12-20 | 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 | 2022-10-26 | 2022-12-20 | 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 | 2022-10-26 | 2022-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-26 | 2022-12-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-26 | 2022-12-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-26 | 2022-12-20 | 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 | 2022-11-01 | 2022-12-05 | 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 | 2022-11-01 | 2022-12-05 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-11-01 | 2022-12-05 | 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 | 2022-11-01 | 2022-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-01 | 2022-12-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-01 | 2022-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-01 | 2022-12-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-01 | 2022-12-05 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-26 | 2022-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-05-18 | Y |
| Post nurse staffing information every day. | Health | 2022-04-13 | 2022-05-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-13 | 2022-04-15 | Y |
| 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 | 2022-04-13 | 2022-04-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-13 | 2022-04-15 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-13 | 2022-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-09 | 2022-03-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-13 | 2021-11-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-13 | 2021-11-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-27 | 2021-10-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-27 | 2021-10-30 | N |
| Have an externally vented heating system. | Fire Safety | 2021-07-27 | 2021-10-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-27 | 2021-10-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-27 | 2021-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-27 | 2021-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-27 | 2021-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-27 | 2021-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-29 | 2021-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-29 | 2021-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-08-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-27 | 2021-08-20 | 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 | 2021-07-27 | 2021-08-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-07-27 | 2021-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-27 | 2021-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-27 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-29 | 2021-08-11 | N |
