A list of the most recent deficiencies for Glasgow Gardens. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2023-08-23 | 2023-10-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-23 | 2023-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-10-03 | 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 | 2023-08-23 | 2023-10-03 | 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 | 2023-08-23 | 2023-10-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-08-28 | 2023-10-03 | 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 | 2023-08-28 | 2023-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-28 | 2023-10-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-19 | 2022-08-31 | Y |
| 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 | 2020-01-16 | 2020-02-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-01-16 | 2020-02-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-16 | 2020-02-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-16 | 2020-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-16 | 2020-02-27 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-16 | 2020-02-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-16 | 2020-02-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-24 | 2019-06-05 | 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 | 2019-04-24 | 2019-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-24 | 2019-06-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-24 | 2019-06-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-24 | 2019-06-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-24 | 2019-06-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-24 | 2019-06-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-24 | 2019-06-05 | 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 | 2019-04-24 | 2019-06-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-24 | 2019-06-05 | N |
