A list of the most recent deficiencies for Grove Manor. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-28 | 2024-02-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-28 | 2024-01-26 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-11-28 | 2024-01-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2024-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-28 | 2024-01-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-28 | 2024-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-15 | 2023-12-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-15 | 2023-12-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-15 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-15 | 2023-12-22 | 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 | 2023-11-15 | 2023-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-15 | 2023-12-22 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-11-15 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-28 | 2023-02-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-12-28 | 2023-02-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-28 | 2023-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-28 | 2023-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-28 | 2023-02-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-14 | Not Fixed | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-14 | Not Fixed | Y |
