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Deficiency Records for Grace Brethren Village
View the most recent health deficiencies and inspection results for Grace Brethren Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Grace Brethren Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-08-27 | 2025-09-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-09 | 2025-04-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-09 | 2025-04-24 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-30 | 2025-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-13 | 2025-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-30 | 2025-03-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-01-30 | 2025-03-28 | N |
| 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 | 2025-01-30 | 2025-03-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-30 | 2025-03-28 | 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 | 2025-01-30 | 2025-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-30 | 2025-03-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-30 | 2025-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2023-12-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-01 | 2023-08-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-01 | 2023-08-28 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-05-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-31 | 2022-05-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-31 | 2022-05-06 | 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 | 2022-03-31 | 2022-05-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-31 | 2022-05-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-31 | 2022-05-06 | 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 | 2022-03-31 | 2022-05-06 | 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 | 2022-03-31 | 2022-05-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-03-31 | 2022-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-31 | 2022-05-06 | 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 | 2020-02-27 | 2020-04-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-27 | 2020-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-27 | 2020-04-15 | 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 | 2020-02-27 | 2020-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| 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 | 2020-02-27 | 2020-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-04-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-27 | 2020-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-15 | N |