A list of the most recent deficiencies for Grand Village. 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 and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-11-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-26 | 2023-11-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-27 | 2023-10-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-20 | 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 | 2023-09-26 | 2023-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-28 | 2023-04-19 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-10 | 2022-06-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-10 | 2022-06-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-12 | 2022-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-10 | 2022-06-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-13 | 2021-11-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-06 | 2020-04-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-03-06 | 2020-04-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-03-06 | 2020-04-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-03-06 | 2020-04-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-06 | 2020-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-06 | 2020-04-15 | 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 | 2020-03-06 | 2020-04-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-06 | 2020-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-03 | 2020-04-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-03-06 | 2020-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-03 | 2020-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-03 | 2020-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-03 | 2020-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-03 | 2020-03-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-03 | 2020-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-03 | 2020-03-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-03 | 2020-03-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-03 | 2020-03-05 | N |
