Deficiency Records for Gaye Haven Intermediate Care Facility
Updated as of August 01, 2016
This is not the most recent data for Gaye Haven Intermediate Care Facility. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-05-31 | 2016-07-26 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-05-31 | 2016-07-26 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-31 | 2016-07-26 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-31 | 2016-07-26 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-31 | 2016-07-26 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-05-31 | 2016-07-26 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-05-31 | 2016-07-26 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-05-31 | 2016-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-31 | 2016-07-26 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-31 | 2016-07-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-31 | 2016-07-26 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-05-31 | 2016-07-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-31 | 2016-07-26 | N |
| Keep all essential equipment working safely. | Health | 2016-05-31 | 2016-07-26 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-05-31 | 2016-07-26 | N |
| Fire resistant interior walls. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Proper backup exit lighting. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Portable fire extinguishers. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-25 | 2016-07-26 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-07-23 | 2015-11-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-23 | 2015-11-10 | N |
| Be licensed under State and local laws. | Health | 2015-07-23 | 2015-11-10 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2015-07-23 | 2015-11-10 | Y |
| A written emergency evacuation plan. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-07-30 | 2015-11-05 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-30 | 2015-10-21 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-07-30 | 2015-09-24 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-07-30 | 2015-09-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Properly constructed windows in hallway walls or doors. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Proper backup exit lighting. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-07-30 | 2015-09-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-07-23 | 2015-09-22 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-07-23 | 2015-09-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-23 | 2015-09-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2015-07-23 | 2015-09-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-23 | 2015-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-23 | 2015-09-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-07-23 | 2015-09-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-23 | 2015-09-22 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-07-23 | 2015-09-22 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-07-23 | 2015-09-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-23 | 2015-09-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-23 | 2015-09-22 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-07-23 | 2015-09-22 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-07-23 | 2015-09-22 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2015-07-23 | 2015-09-22 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-02-26 | 2015-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-02-26 | 2015-03-18 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-10-09 | 2015-01-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-09 | 2015-01-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-10-09 | 2015-01-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-09 | 2015-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-09 | 2015-01-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Portable fire extinguishers. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-10-09 | 2014-12-18 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-10-09 | 2014-12-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-10-09 | 2014-12-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-10-09 | 2014-12-18 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2014-10-09 | 2014-12-18 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2014-10-09 | 2014-12-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-09 | 2014-12-18 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-10-09 | 2014-12-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-10-09 | 2014-12-18 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2014-10-09 | 2014-12-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-10-09 | 2014-12-18 | N |
