Deficiency Records for The Grove at New Wilmington
Updated as of August 01, 2020
This is not the most recent data for The Grove at New Wilmington. For the most recent information, click here.
A list of the most recent deficiencies for The Grove at New Wilmington. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-12 | 2020-01-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-12 | 2020-01-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-12 | 2020-01-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-12 | 2020-01-08 | 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 | 2019-12-12 | 2020-01-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-12 | 2020-01-08 | N |
| 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 | 2019-12-12 | 2020-01-08 | N |
| 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 | 2019-12-12 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-08 | N |
| Meet other general requirements. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-15 | 2019-02-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-15 | 2019-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-15 | 2019-02-12 | N |
| 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 | 2019-01-15 | 2019-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-15 | 2019-02-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-01-15 | 2019-02-12 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-28 | 2018-04-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-28 | 2018-04-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-02-28 | 2018-04-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-02-28 | 2018-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-28 | 2018-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-28 | 2018-04-05 | 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 | 2018-02-16 | 2018-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-16 | 2018-03-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-16 | 2018-03-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-16 | 2018-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-16 | 2018-03-20 | 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 | 2018-02-16 | 2018-03-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-16 | 2018-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-16 | 2018-03-20 | N |
| 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 | 2018-02-16 | 2018-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-16 | 2018-03-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-09 | 2017-05-30 | Y |
