A list of the most recent deficiencies for Gower Convalescent Center, Inc. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-26 | 2023-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-12-27 | 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 | 2023-10-26 | 2023-12-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-12-27 | 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 | 2023-10-26 | 2023-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-12-27 | 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 | 2023-10-26 | 2023-12-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-26 | 2023-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-26 | 2023-12-27 | 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 | 2023-10-26 | 2023-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-20 | 2022-01-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-07 | 2022-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-07 | 2022-01-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-10-07 | 2021-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-07 | 2021-12-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-07 | 2021-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-07 | 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 | 2021-10-07 | 2021-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-07 | 2021-10-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-07 | 2021-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-07 | 2021-10-28 | N |
| Use approved construction type or materials. | Fire Safety | 2021-10-07 | 2021-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-07 | 2021-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-07 | 2021-10-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-07 | 2021-10-15 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-10-07 | 2021-10-08 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-08-31 | 2021-09-24 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-06 | 2019-10-30 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-09-06 | 2019-10-30 | 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 | 2019-09-06 | 2019-10-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-06 | 2019-10-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-06 | 2019-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-06 | 2019-10-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-06 | 2019-10-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-09-06 | 2019-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-06 | 2019-10-30 | 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 | 2019-09-06 | 2019-10-30 | N |
