Deficiency Records for Grafton Oaks Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Grafton Oaks Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-16 | 2023-03-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-03-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| 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 | 2023-02-15 | 2023-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-15 | 2023-03-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-27 | 2022-02-18 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-01-27 | 2022-02-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-27 | 2022-02-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-27 | 2022-02-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-05 | 2019-10-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-05 | 2019-10-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-05 | 2019-10-11 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-05 | 2019-10-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-09 | 2018-08-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-09 | 2018-08-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-09 | 2018-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-09 | 2018-08-31 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-09 | 2018-08-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-09 | 2018-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-09 | 2018-08-31 | 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 | 2018-08-09 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-08-31 | 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 | 2018-08-09 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-08-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-09 | 2018-08-31 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-07 | 2018-08-31 | N |
