A list of the most recent deficiencies for Grand River Health Care. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-08-17 | N |
| 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 | 2023-04-24 | 2023-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-24 | 2023-07-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Meet other general requirements. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-24 | 2023-06-30 | 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 | 2023-04-24 | 2023-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-24 | 2023-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-24 | 2023-06-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-24 | 2023-06-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-04-24 | 2023-06-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-24 | 2023-06-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-24 | 2023-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-24 | 2023-06-06 | 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 | 2023-04-24 | 2023-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-24 | 2023-06-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-06-06 | 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 | 2023-04-24 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-24 | 2023-06-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-04-24 | 2023-06-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-22 | 2022-04-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-22 | 2022-04-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-13 | 2021-08-03 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-02-10 | 2021-05-18 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-02-10 | 2021-05-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-02-10 | 2021-05-18 | 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 | 2021-02-10 | 2021-05-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-10 | 2021-05-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-02-10 | 2021-05-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-10 | 2021-05-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-10 | 2021-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-10 | 2021-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-10 | 2021-03-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-10 | 2021-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-10 | 2021-03-06 | 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 | 2021-02-10 | 2021-03-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-10 | 2021-03-06 | 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 | 2021-02-10 | 2021-03-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-02-10 | 2021-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-03-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-02-10 | 2021-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-10 | 2021-03-06 | N |
| Keep all essential equipment working safely. | Health | 2021-02-10 | 2021-03-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-10 | 2021-03-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-02-10 | 2021-03-06 | N |
| Use approved construction type or materials. | Fire Safety | 2021-02-10 | 2021-03-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-02-10 | 2021-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-10 | 2021-03-06 | 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 | 2021-02-10 | 2021-03-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-10 | 2021-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-10 | 2021-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-10 | 2021-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-09 | 2019-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-09 | 2019-10-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-09 | 2019-10-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-09 | 2019-10-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-09 | 2019-10-09 | 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 | 2019-08-09 | 2019-10-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-09 | 2019-10-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-09 | 2019-10-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-09 | 2019-10-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-09 | 2019-10-09 | 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 | 2019-08-09 | 2019-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-09 | 2019-10-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-09 | 2019-10-09 | N |
