Deficiency Records for Gracelen Care Center
Updated as of March 01, 2020
This is not the most recent data for Gracelen Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Gracelen Care Center. 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? |
---|---|---|---|---|
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Develop a communication plan. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Provide emergency officials' contact information. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Provide primary/alternate means for communication. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-07-05 | 2018-08-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-05 | 2018-07-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-11 | 2018-07-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-11 | 2018-07-13 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-01 | 2018-04-20 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-01 | 2018-04-20 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-01 | 2018-04-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-01 | 2018-04-20 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-01 | 2018-04-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-20 | Y |
Ensure that residents are free from significant medication errors. | Health | 2018-03-01 | 2018-04-20 | Y |
Allow residents to have visitors. | Health | 2017-05-05 | 2017-06-16 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-05 | 2017-06-16 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-05 | 2017-06-16 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-05 | 2017-06-16 | 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 | 2017-05-05 | 2017-06-16 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-03-25 | 2016-05-09 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-03-25 | 2016-05-09 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-25 | 2016-05-09 | 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 | 2016-03-25 | 2016-05-09 | N |
Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-03-25 | 2016-05-09 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-25 | 2016-05-09 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-22 | 2016-04-15 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-22 | 2016-04-15 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-22 | 2016-03-30 | N |