A list of the most recent deficiencies for Essentia Health Grace Home. 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 exits that are accessible at all times. | Fire Safety | 2023-12-05 | 2024-06-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-06 | 2024-01-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-06 | 2024-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2024-01-25 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-06 | 2024-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-06 | 2024-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-05 | 2023-12-22 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-12-06 | 2023-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-05 | 2023-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2023-12-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-26 | 2022-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-08-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-07 | 2022-08-26 | 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 | 2022-07-07 | 2022-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-07 | 2022-08-26 | 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 | 2021-09-23 | 2021-10-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-27 | 2021-07-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-27 | 2021-07-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-27 | 2021-07-10 | 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 | 2021-05-27 | 2021-07-10 | 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 | 2021-05-27 | 2021-07-10 | N |
| Provide or obtain dental services for each resident. | Health | 2021-05-27 | 2021-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-07-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-27 | 2021-07-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-27 | 2021-07-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-25 | 2021-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-25 | 2021-06-25 | N |
