Deficiency Records for Gracelen Care Center
Updated as of June 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 |
