A list of the most recent deficiencies for Gracewood Health and Rehab. 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 | 2023-09-28 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-23 | 2023-09-25 | Y |
| 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 | 2022-01-05 | 2022-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-05 | 2022-06-01 | 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 | 2022-01-05 | 2022-06-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-05 | 2022-06-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-30 | 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 | 2022-05-04 | 2022-05-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-05-04 | 2022-05-30 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-05-04 | 2022-05-30 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-05-04 | 2022-05-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-04 | 2022-05-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-04 | 2022-05-26 | 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 | 2022-05-04 | 2022-05-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-04 | 2022-05-21 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-04 | 2022-05-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-04 | 2022-05-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-04 | 2022-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-10-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-26 | 2021-10-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-26 | 2021-10-15 | 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 | 2021-08-26 | 2021-10-15 | 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 | 2019-05-08 | 2019-06-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-08 | 2019-06-22 | 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 | 2019-05-08 | 2019-06-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-05-08 | 2019-06-22 | 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 | 2019-05-08 | 2019-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-08 | 2019-06-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-08 | 2019-06-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-02 | 2019-06-22 | 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 | 2019-05-02 | 2019-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-06-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-05-28 | 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 | 2019-05-02 | 2019-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-05-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-08 | 2019-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-06 | 2018-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-06 | 2018-04-09 | N |
