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Deficiency Records for Greenhaven Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Greenhaven Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Greenhaven Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-09-04 | 2025-09-09 | Y |
| Provide appropriate foot care. | Health | 2025-07-08 | 2025-09-04 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-07-08 | 2025-09-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-07-08 | 2025-09-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-08 | 2025-09-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-07-08 | 2025-09-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-07-08 | 2025-09-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-08 | 2025-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-04 | 2025-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-08 | 2025-08-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-25 | 2025-04-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-25 | 2025-04-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-07-08 | 2024-09-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-14 | 2024-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-14 | 2024-05-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-14 | 2024-05-20 | 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 | 2024-03-14 | 2024-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-14 | 2024-04-11 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-03-14 | 2024-04-11 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-14 | 2024-04-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-14 | 2024-04-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-14 | 2024-04-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-14 | 2024-04-11 | 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 | 2024-03-14 | 2024-04-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-14 | 2024-04-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-14 | 2024-04-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-14 | 2024-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-13 | 2023-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-13 | 2023-03-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-13 | 2023-03-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-13 | 2023-02-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-01-13 | 2023-02-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-13 | 2023-02-15 | 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 | 2023-01-13 | 2023-02-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-13 | 2023-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-13 | 2023-02-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-13 | 2023-02-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-13 | 2023-02-15 | N |
| 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 | 2023-01-13 | 2023-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-13 | 2023-02-15 | N |