A list of the most recent deficiencies for Grand The. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-09-02 | 2023-09-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-02 | 2023-09-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-21 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-01-09 | 2023-02-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-09 | 2023-02-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-09 | 2023-02-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-09 | 2023-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-09 | 2023-02-07 | 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 | 2023-01-09 | 2023-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-09 | 2023-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-09 | 2023-02-07 | 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 | 2023-01-09 | 2023-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-09 | 2023-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-09 | 2023-02-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-01-09 | 2023-02-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-01-09 | 2023-02-07 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-09 | 2023-02-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-09 | 2023-02-07 | N |
| Keep all essential equipment working safely. | Health | 2023-01-09 | 2023-02-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-09 | 2023-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-09 | 2023-02-07 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-01-09 | 2023-02-07 | 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 | 2023-01-09 | 2023-02-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-09 | 2023-02-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-09 | 2023-02-07 | 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 | 2023-01-09 | 2023-02-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-09 | 2023-02-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-09 | 2023-02-07 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-09 | 2023-02-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-09 | 2023-02-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-09 | 2023-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-09 | 2023-02-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-09 | 2023-02-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-01-09 | 2023-02-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-21 | 2023-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-16 | 2022-09-16 | 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 | 2022-08-16 | 2022-09-16 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-08-16 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-24 | 2022-06-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-30 | 2022-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-25 | 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 | 2022-03-30 | 2022-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-25 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2022-03-16 | 2022-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-11 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-24 | 2022-02-11 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-24 | 2022-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-02-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-17 | 2021-06-11 | 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 | 2021-05-17 | 2021-06-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-05-17 | 2021-06-11 | 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 | 2021-05-17 | 2021-06-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-17 | 2021-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-17 | 2021-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-17 | 2021-06-11 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2021-05-17 | 2021-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-04-30 | N |
