Deficiency Records for The Grand Rehabilitation and Nursing at Mohawk
Updated as of April 01, 2024
A list of the most recent deficiencies for The Grand Rehabilitation and Nursing at Mohawk. 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? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2023-11-07 | 2024-01-17 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-03 | 2024-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-07 | 2023-12-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-07 | 2023-12-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-12-29 | 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 | 2023-11-07 | 2023-12-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-07 | 2023-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-07 | 2023-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-07 | 2023-12-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-07 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-12-29 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-07 | 2023-12-29 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-03 | 2023-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-09-25 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-04 | 2023-09-25 | 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 | 2021-09-01 | 2021-10-11 | 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 | 2021-09-01 | 2021-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-01 | 2021-10-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-01 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-09-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-26 | 2021-09-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-26 | 2021-08-31 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-08-26 | 2021-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-19 | 2020-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2020-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-19 | 2019-11-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-09-24 | 2019-11-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-24 | 2019-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-24 | 2019-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-24 | 2019-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-24 | 2019-11-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-24 | 2019-11-06 | 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 | 2019-09-24 | 2019-11-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-24 | 2019-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-24 | 2019-11-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-11-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-19 | 2019-11-06 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-09-19 | 2019-10-24 | N |
