A list of the most recent deficiencies for Gran Grans Place. 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 medication error rates are not 5 percent or greater. | Health | 2023-06-23 | 2023-08-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-23 | 2023-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-08-04 | N |
| 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 | 2023-06-23 | 2023-08-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-08-04 | Y |
| 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 | 2023-06-23 | 2023-08-04 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-05 | 2021-05-07 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-17 | 2019-09-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-17 | 2019-09-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-17 | 2019-09-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-17 | 2019-09-09 | 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 | 2019-07-17 | 2019-09-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-17 | 2019-09-09 | 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 | 2019-07-17 | 2019-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-17 | 2019-08-01 | N |
