A list of the most recent deficiencies for Manor of Grande Village. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-11-13 | Y |
| 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 | 2023-06-16 | 2023-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-21 | 2023-01-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-21 | 2023-01-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-21 | 2023-01-06 | Y |
| 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 | 2022-04-22 | 2022-05-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-22 | 2022-05-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-22 | 2022-05-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-05-17 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-04-22 | 2022-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-17 | 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 | 2022-04-22 | 2022-05-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-22 | 2022-05-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-22 | 2022-05-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-22 | 2022-05-17 | 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 | 2022-04-22 | 2022-05-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-22 | 2022-05-17 | 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 | 2022-04-22 | 2022-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-17 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-22 | 2022-05-17 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-19 | 2022-05-17 | 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 | 2022-04-19 | 2022-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-05-17 | N |
| Post nurse staffing information every day. | Health | 2022-04-22 | 2022-05-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-14 | 2022-03-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-04 | 2021-03-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-07 | 2019-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-07 | 2019-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-12 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-07 | 2019-04-12 | 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 | 2019-03-05 | 2019-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-05 | 2019-04-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-02-01 | 2018-02-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-01 | 2018-02-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-01 | 2018-02-26 | N |
| 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 | 2018-02-01 | 2018-02-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-02-01 | 2018-02-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-01 | 2018-02-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-01 | 2018-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-01 | 2018-02-26 | N |
