A list of the most recent deficiencies for Northampton County-Gracedale. 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 residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-08 | 2023-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-07-28 | N |
| Meet other general requirements. | Fire Safety | 2023-06-22 | 2023-07-26 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-06-22 | 2023-07-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-22 | 2023-07-26 | 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 | 2023-06-22 | 2023-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-22 | 2023-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-22 | 2023-07-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-06-22 | 2023-07-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-16 | 2023-07-17 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-29 | 2022-08-28 | 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 | 2022-06-29 | 2022-08-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-29 | 2022-08-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-09 | 2022-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-07-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-09 | 2022-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-24 | 2021-11-04 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-13 | 2021-09-11 | 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 | 2021-07-13 | 2021-09-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-13 | 2021-09-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-09 | 2021-09-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-09 | 2021-09-07 | 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 | 2021-07-09 | 2021-09-07 | 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 | 2021-07-09 | 2021-09-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-07-09 | 2021-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-06-09 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-01-28 | Not Fixed | Y |
