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Deficiency Records for Hopewell Grove Rehabilitation and Healthcare
View the most recent health deficiencies and inspection results for Hopewell Grove Rehabilitation and Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hopewell Grove Rehabilitation and Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-26 | 2026-03-27 | Y |
| Implement a program that monitors antibiotic use. | Health | 2026-02-26 | 2026-03-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-02-26 | 2026-03-27 | 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 | 2026-02-26 | 2026-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-26 | 2026-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-26 | 2026-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-26 | 2026-03-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-02-26 | 2026-03-27 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-26 | 2026-03-27 | 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 | 2026-02-26 | 2026-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-20 | 2025-03-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-20 | 2025-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-20 | 2025-03-10 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-02-20 | 2025-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-20 | 2025-03-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-02-20 | 2025-03-10 | Y |
| 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 | 2025-02-20 | 2025-03-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-20 | 2025-03-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-02-20 | 2025-03-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-20 | 2025-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-20 | 2025-03-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-16 | 2025-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-01-27 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-23 | 2024-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-16 | 2024-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-16 | 2024-09-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-06 | 2024-09-30 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-05-23 | 2024-06-12 | N |
| Use approved construction type or materials. | Fire Safety | 2024-05-23 | 2024-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-23 | 2024-06-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-23 | 2024-06-11 | 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 | 2024-05-23 | 2024-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-23 | 2024-06-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-23 | 2024-06-11 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-05-23 | 2024-06-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-23 | 2024-06-11 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-05-23 | 2024-06-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-06-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-23 | 2024-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-23 | 2024-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-06-08 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-27 | 2023-06-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-27 | 2023-06-08 | 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 | 2023-04-27 | 2023-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-06-08 | 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 | 2023-04-27 | 2023-06-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-27 | 2023-06-08 | N |
| Meet other general requirements. | Fire Safety | 2021-05-24 | 2021-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-24 | 2021-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-24 | 2021-06-25 | N |