Deficiency Records for Grand Village
Updated as of September 01, 2022
This is not the most recent data for Grand Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-10-20 | 2020-12-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-11-03 | 2020-12-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-11-03 | 2020-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-10 | 2020-10-08 | 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 |
| 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 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-03 | 2019-09-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-17 | 2019-06-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-19 | 2019-05-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-19 | 2019-05-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-19 | 2019-05-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-19 | 2019-05-29 | 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 | 2019-04-19 | 2019-05-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-19 | 2019-05-29 | 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 | 2019-04-19 | 2019-05-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
