Deficiency Records for The Grand Rehabilitation and Nursing at Barnwell
Updated as of March 01, 2024
A list of the most recent deficiencies for The Grand Rehabilitation and Nursing at Barnwell. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-25 | 2023-09-29 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-21 | 2023-08-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-21 | 2023-08-18 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-06-21 | 2023-07-31 | 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 | 2023-06-21 | 2023-07-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-21 | 2023-07-31 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-06-21 | 2023-07-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-21 | 2023-07-31 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-21 | 2023-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-21 | 2023-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-06-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-08 | 2023-03-08 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-08 | 2023-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2023-03-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2023-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-08 | 2023-03-08 | 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 | 2022-12-08 | 2023-03-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2023-03-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-12-08 | 2023-03-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-08 | 2023-03-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-08 | 2023-03-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-08 | 2023-03-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-02-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-12-08 | 2023-02-14 | Y |
| 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 | 2022-12-08 | 2023-02-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-08 | 2023-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-08 | 2023-02-01 | 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 | 2022-12-08 | 2023-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-30 | 2022-10-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-30 | 2022-10-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-09 | 2022-08-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-09 | 2022-08-10 | 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 | 2022-06-09 | 2022-08-02 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-09 | 2022-08-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-09 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-06-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-19 | 2022-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-12 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-07 | 2022-03-16 | 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 | 2022-01-07 | 2022-03-10 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-01-07 | 2022-03-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-07 | 2022-03-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-07 | 2022-03-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-07 | 2022-03-04 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-01-07 | 2022-03-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-07 | 2022-03-03 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2021-07-16 | 2021-10-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-16 | 2021-10-08 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2021-07-16 | 2021-10-08 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-16 | 2021-10-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-16 | 2021-10-08 | 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 | 2021-07-16 | 2021-10-08 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-16 | 2021-10-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-08-05 | 2021-09-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-05 | 2021-09-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-05 | 2021-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-04-12 | N |
