Deficiency Records for Avera Granite Falls Care Center

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Updated as of April 01, 2024

A list of the most recent deficiencies for Avera Granite Falls Care 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-03-21 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-02-29 2024-03-21 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-08-10 2023-09-06 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 2023-08-10 2023-09-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-10 2023-09-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-07 2023-09-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-29 2022-08-17 N
Provide and implement an infection prevention and control program. Health 2022-06-30 2022-08-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-29 2022-06-02 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-04-29 2022-06-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-29 2022-06-02 Y
Respond appropriately to all alleged violations. Health 2022-04-29 2022-06-02 Y
Provide a written emergency evacuation plan. Fire Safety 2020-01-08 2020-04-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-09 2020-03-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-01-08 2020-03-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-09 2020-02-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2020-01-09 2020-02-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-08 2020-02-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-01-09 2020-01-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-01-08 2020-01-14 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2020-01-08 2020-01-09 N