Deficiency Records for Gateway Care and Retirement
Updated as of October 01, 2020
This is not the most recent data for Gateway Care and Retirement. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
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 | Y |
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 | Y |
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 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-18 | 2020-04-01 | Y |
Respond appropriately to all alleged violations. | Health | 2020-02-18 | 2020-04-01 | Y |
Provide activities to meet all resident's needs. | Health | 2020-02-18 | 2020-04-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-18 | 2020-04-01 | Y |
Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-18 | 2020-04-01 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-18 | 2020-04-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-04-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-03 | 2019-04-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-25 | 2018-07-10 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-25 | 2018-07-10 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-25 | 2018-07-10 | Y |
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 | 2018-05-25 | 2018-07-10 | Y |
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 | 2018-05-25 | 2018-07-10 | 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 | 2018-05-25 | 2018-07-10 | 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 | 2018-05-25 | 2018-07-10 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-04 | 2018-07-09 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-06-04 | 2018-07-09 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-04 | 2018-07-09 | N |
Provide primary/alternate means for communication. | Fire Safety | 2018-06-04 | 2018-07-09 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-06-04 | 2018-07-09 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-06-04 | 2018-07-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-04 | 2018-07-09 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-24 | 2017-09-20 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-24 | 2017-09-20 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-24 | 2017-09-20 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-24 | 2017-09-20 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-24 | 2017-09-20 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2017-08-24 | 2017-09-20 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-24 | 2017-09-20 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-21 | 2017-05-23 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-10 | 2017-05-23 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-10 | 2017-05-23 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-10 | 2017-05-23 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-10 | 2017-05-23 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-10 | 2017-05-23 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-10 | 2017-05-23 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-10 | 2017-05-23 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-10 | 2017-05-23 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-04-10 | 2017-05-23 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-10 | 2017-05-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-21 | 2017-05-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-04-21 | 2017-05-08 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2017-04-21 | 2017-04-24 | N |