A list of the most recent deficiencies for Gateway Care and Retirement. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-04 | 2024-01-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-04 | 2024-01-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-04 | 2024-01-15 | 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 | 2023-12-04 | 2024-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-04 | 2024-01-15 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-12-04 | 2024-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2024-01-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-05 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-05 | 2023-12-20 | 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 | 2023-12-05 | 2023-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-05 | 2023-12-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-05 | 2023-10-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-09-13 | 2022-10-25 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-09-13 | 2022-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-13 | 2022-10-25 | Y |
| 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 | 2022-09-13 | 2022-10-25 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-13 | 2022-10-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-13 | 2022-10-25 | 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 | 2022-09-13 | 2022-10-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-13 | 2022-10-25 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-09-13 | 2022-10-25 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-09-13 | 2022-10-25 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-09-13 | 2022-10-25 | Y |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-09-07 | 2022-10-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-07 | 2022-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-07 | 2022-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-07 | 2022-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-07 | 2022-10-25 | N |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2022-05-25 | 2022-07-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-25 | 2022-07-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-25 | 2022-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-07-07 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-05-25 | 2022-07-07 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-05-25 | 2022-07-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-03-30 | 2021-05-04 | Y |
| Post nurse staffing information every day. | Health | 2021-03-30 | 2021-05-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-03-30 | 2021-05-04 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-18 | 2020-04-01 | 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 | 2020-02-18 | 2020-04-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-18 | 2020-04-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-18 | 2020-04-01 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-18 | 2020-04-01 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-18 | 2020-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-18 | 2020-04-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-18 | 2020-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-18 | 2020-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-04-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-02-12 | 2020-04-01 | N |
