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Deficiency Records for The Gardens Health and Rehab
View the most recent health deficiencies and inspection results for The Gardens Health and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Gardens Health and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-03-12 | 2025-04-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-03-12 | 2025-04-26 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-03-12 | 2025-04-26 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-03-12 | 2025-04-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-03-12 | 2025-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-12 | 2025-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-12 | 2025-04-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-03-12 | 2025-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-12 | 2025-04-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-12 | 2025-04-26 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-03-12 | 2025-04-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-03-12 | 2025-04-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-12 | 2025-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-12 | 2025-04-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-12 | 2025-04-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-03-12 | 2025-04-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-03-12 | 2025-04-26 | 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 | 2025-03-12 | 2025-04-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-12 | 2025-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-12 | 2025-04-26 | 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 | 2025-03-12 | 2025-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-12 | 2025-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-12 | 2025-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-12 | 2025-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-18 | 2025-01-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-23 | 2024-07-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-27 | 2023-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-27 | 2023-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-27 | 2023-12-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-27 | 2023-12-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-27 | 2023-12-08 | 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 | 2023-10-27 | 2023-12-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-12 | 2023-09-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-05 | 2021-12-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-05 | 2021-12-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-05 | 2021-12-10 | 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 | 2021-11-05 | 2021-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-05 | 2021-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-05 | 2021-11-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-11-05 | 2021-11-30 | N |