Deficiency Records for The Rivers Health and Rehab Center of Grosse Pointe
Updated as of April 01, 2024
A list of the most recent deficiencies for The Rivers Health and Rehab Center of Grosse Pointe. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-13 | 2023-12-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Develop a communication plan. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-07-28 | 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 | 2023-07-12 | 2023-07-28 | 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 | 2023-07-12 | 2023-07-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-07-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-12 | 2023-07-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-12 | 2023-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-05-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-09 | 2023-05-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-09-28 | Y |
| 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 | 2022-06-16 | 2022-07-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-16 | 2022-07-20 | 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 | 2022-06-16 | 2022-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-07-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-16 | 2022-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-20 | 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 | 2021-12-08 | 2022-03-09 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-19 | 2022-01-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2022-01-17 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-12-08 | 2022-01-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-08 | 2022-01-17 | 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 | 2021-10-06 | 2021-10-29 | 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 | 2021-08-10 | 2021-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-10 | 2021-09-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-17 | 2021-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-17 | 2021-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-17 | 2021-04-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-17 | 2021-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-17 | 2021-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-17 | 2021-04-07 | 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 | 2021-02-10 | 2021-02-22 | N |
