A list of the most recent deficiencies for Elderwood at Grand Island. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-05 | 2023-06-26 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-03 | 2023-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-03 | 2023-05-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-03 | 2023-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-03 | 2023-05-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-03 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-03 | 2023-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-03 | 2023-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-03 | 2023-05-12 | N |
| Meet other general requirements. | Fire Safety | 2023-05-03 | 2023-05-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-03 | 2023-05-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-03 | 2023-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-03 | 2023-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-03 | 2023-05-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-23 | 2023-01-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-06 | 2021-12-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-14 | 2019-10-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-14 | 2019-10-13 | N |
| 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 | 2019-08-14 | 2019-10-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-14 | 2019-10-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-14 | 2019-10-13 | N |
