Deficiency Records for Gaye Haven Intermediate Care Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for Gaye Haven Intermediate Care Facility. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-06 | 2021-06-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-05-06 | 2021-06-21 | 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 | 2021-05-04 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-04 | 2021-06-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-05-04 | 2021-06-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-04 | 2021-06-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-05-04 | 2021-06-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-06 | 2021-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-06 | 2021-06-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-06 | 2021-06-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-06 | 2021-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-06 | 2021-06-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-04 | 2021-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-06 | 2021-06-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-06 | 2021-06-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-06 | 2021-06-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-06 | 2021-05-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-06 | 2021-05-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-05-06 | 2021-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-06 | 2021-05-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-04 | 2019-07-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-07 | 2019-07-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-07 | 2019-07-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-04 | 2019-07-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-04 | 2019-06-29 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-06-04 | 2019-06-06 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-06-04 | 2019-06-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-04 | 2019-06-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish methods for sharing information. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-12 | 2018-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-12 | 2018-05-09 | 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 | 2018-04-13 | 2018-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-12 | 2018-05-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-12 | 2018-04-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-12 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-13 | 2018-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-12 | 2018-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-12 | 2018-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-12 | 2018-04-13 | N |
