Deficiency Records for Gracelen Care Center
Updated as of September 01, 2022
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? |
---|---|---|---|---|
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-19 | 2022-07-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-19 | 2022-07-08 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-19 | 2022-07-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-19 | 2022-07-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-07-08 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-05-19 | 2022-07-08 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-21 | 2022-03-12 | 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 | 2022-01-21 | 2022-03-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-21 | 2022-03-12 | N |
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 | 2022-01-21 | 2022-03-12 | N |
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 | 2022-01-21 | 2022-03-12 | N |
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 | 2022-01-21 | 2022-03-12 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-21 | 2022-03-12 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-21 | 2022-03-12 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-01-21 | 2022-03-12 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-21 | 2022-03-12 | Y |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-01-21 | 2022-03-12 | Y |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-01-11 | 2022-03-12 | N |
Provide family notifications of emergency plan. | Fire Safety | 2022-01-11 | 2022-03-12 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-01-11 | 2022-03-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-03-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-11 | 2022-03-12 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2022-01-11 | 2022-03-12 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-12 | 2021-09-30 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-09-30 | Y |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-08-12 | 2021-08-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-13 | 2021-06-01 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-13 | 2021-06-01 | Y |
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2021-04-13 | 2021-06-01 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-13 | 2021-06-01 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-13 | 2021-06-01 | Y |
Respond appropriately to all alleged violations. | Health | 2021-04-13 | 2021-06-01 | 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 | 2021-04-13 | 2021-06-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-07-21 | 2020-08-26 | N |
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 |
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 |