Deficiency Records for The Grand Rehabilitation and Nursing at Mohawk
Updated as of September 01, 2021
This is not the most recent data for The Grand Rehabilitation and Nursing at Mohawk. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-12-17 | 2021-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-28 | 2020-04-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-28 | 2020-04-03 | Y |
| 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 |
| 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 |
| 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 |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-09-19 | 2019-10-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-29 | 2019-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-29 | 2019-09-27 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-08-29 | 2019-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-18 | 2019-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-08-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-01 | 2019-05-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-01 | 2019-05-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-11 | 2019-01-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-12-11 | 2019-01-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-16 | 2018-05-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-16 | 2018-05-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-16 | 2018-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-16 | 2018-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-16 | 2018-05-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-03-14 | 2018-05-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-16 | 2017-01-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-16 | 2017-01-12 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-11-16 | 2017-01-12 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2016-11-16 | 2017-01-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2016-11-18 | 2017-01-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-18 | 2017-01-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-11-18 | 2017-01-06 | 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 | 2016-11-16 | 2017-01-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-11-16 | 2017-01-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-16 | 2017-01-06 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-11-16 | 2017-01-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-16 | 2017-01-06 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-11-16 | 2017-01-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-16 | 2017-01-06 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-11-16 | 2017-01-06 | N |
