Deficiency Records for The Grand Rehabilitation and Nursing at South Poin
Updated as of March 01, 2024
A list of the most recent deficiencies for The Grand Rehabilitation and Nursing at South Poin. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-10-30 | 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 | 2023-10-05 | 2023-10-30 | 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 | 2023-10-05 | 2023-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-05 | 2023-10-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-05 | 2023-10-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-05 | 2023-10-30 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-05 | 2023-10-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-08-11 | 2021-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-11 | 2021-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-11 | 2021-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-29 | 2019-05-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-05-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-03-29 | 2019-05-27 | 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 | 2019-03-29 | 2019-05-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-29 | 2019-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-05-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-29 | 2019-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-29 | 2019-05-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-29 | 2019-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-29 | 2019-05-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-29 | 2019-05-10 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-05 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-05 | Not Fixed | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-05 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | Not Fixed | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-10-05 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-29 | Not Fixed | N |
