Deficiency Records for The Grand Rehabilitation and Nrsg at Guilderland
Updated as of January 01, 2020
This is not the most recent data for The Grand Rehabilitation and Nrsg at Guilderland. For the most recent information, click here.
A list of the most recent deficiencies for The Grand Rehabilitation and Nrsg at Guilderland. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-29 | 2019-09-12 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-22 | 2018-04-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-22 | 2018-04-19 | N |
| 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 | 2018-02-22 | 2018-04-19 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-02-22 | 2018-04-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-22 | 2018-04-19 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-02-22 | 2018-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-22 | 2018-04-19 | 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 | 2018-02-22 | 2018-04-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-02-22 | 2018-04-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-22 | 2018-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-22 | 2018-04-19 | 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 | 2018-02-22 | 2018-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-22 | 2018-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-22 | 2018-04-19 | N |
| Keep all essential equipment working safely. | Health | 2018-02-22 | 2018-04-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-22 | 2018-04-19 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-05-17 | 2017-07-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-14 | 2017-06-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-14 | 2017-06-26 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-21 | 2017-06-14 | Y |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2017-04-21 | 2017-06-14 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-14 | 2017-06-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-14 | 2017-06-12 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-01 | 2016-10-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-01 | 2016-10-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-09-01 | 2016-10-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-01 | 2016-10-17 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-01 | 2016-10-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-01 | 2016-10-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-01 | 2016-10-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-10-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-10 | 2016-05-09 | N |
| Provide housekeeping and maintenance services. | Health | 2016-03-10 | 2016-05-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-10 | 2016-05-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-10 | 2016-05-09 | 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 | 2016-03-10 | 2016-05-05 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-10 | 2016-05-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-03-10 | 2016-05-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-03-10 | 2016-05-05 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-03-10 | 2016-05-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-10 | 2016-05-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-03-10 | 2016-05-05 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-03-10 | 2016-04-26 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-10 | 2016-04-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-10 | 2016-04-26 | N |
