Deficiency Records for The Grand Rehabilitation and Nursing at Pawling
Updated as of March 01, 2024
A list of the most recent deficiencies for The Grand Rehabilitation and Nursing at Pawling. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-05-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-15 | 2019-12-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-11-05 | 2019-12-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-01-16 | 2018-04-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-01-16 | 2018-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-16 | 2018-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-16 | 2018-03-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-01-16 | 2018-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-16 | 2018-03-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-16 | 2018-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-16 | 2018-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-16 | 2018-03-16 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-09-16 | 2016-11-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-16 | 2016-11-04 | N |
