Deficiency Records for Grace Heights Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Grace Heights Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-21 | 2022-06-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-25 | 2022-06-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-25 | 2022-06-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-25 | 2022-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-25 | 2022-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-25 | 2022-06-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-25 | 2022-06-24 | 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 | 2022-05-25 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-06-24 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-25 | 2022-06-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-25 | 2022-06-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-07 | 2020-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-07 | 2020-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-02-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-07 | 2020-02-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-07 | 2020-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2020-02-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | N |
