A list of the most recent deficiencies for Gregston Nursing Home, Inc.. 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 properly protected cooking facilities. | Fire Safety | 2023-02-06 | 2023-07-28 | 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 | 2023-02-06 | 2023-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-06 | 2023-04-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-06 | 2023-04-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-06 | 2023-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-13 | 2023-02-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-13 | 2023-02-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-06 | 2023-02-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-02 | 2021-11-01 | 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 | 2021-09-02 | 2021-11-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-09-02 | 2021-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-02 | 2021-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-02 | 2021-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-02 | 2021-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-20 | 2019-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-20 | 2019-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-20 | 2019-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-20 | 2019-03-21 | N |
