CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Gracewood Health and Rehab
View the most recent health deficiencies and inspection results for Gracewood Health and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gracewood Health and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-04-06 | 2026-05-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-06 | 2026-05-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-14 | 2025-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-14 | 2025-03-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-14 | 2025-03-04 | 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 | 2025-01-14 | 2025-03-04 | 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 | 2025-01-14 | 2025-02-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-01-14 | 2025-02-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-01-14 | 2025-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-14 | 2025-02-25 | 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 | 2025-01-14 | 2025-02-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-14 | 2025-02-21 | 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 | 2025-01-14 | 2025-02-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-01-14 | 2025-02-20 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-14 | 2025-02-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-01-14 | 2025-02-20 | N |
| Post nurse staffing information every day. | Health | 2025-01-14 | 2025-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-14 | 2025-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-14 | 2025-02-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-14 | 2025-02-18 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-10-03 | 2024-10-25 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-28 | 2024-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-28 | 2024-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-28 | 2024-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-13 | 2023-12-26 | Y |
| 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 |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-04 | 2022-06-01 | 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 | 2022-05-04 | 2022-06-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-04 | 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 | 2022-05-04 | 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 | 2022-05-04 | 2022-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-04 | 2022-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-04 | 2022-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-04 | 2022-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-04 | 2022-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-04 | 2022-06-01 | 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 |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | 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 timely, quality laboratory services/tests to meet the needs of residents. | 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 care and assistance to perform activities of daily living for any resident who is unable. | 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 | 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 | 2022-05-04 | 2022-05-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-04 | 2022-05-21 | N |
| 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-06 | Not Fixed | Y |