Deficiency Records for The Grove at New Castle
Updated as of April 01, 2021
This is not the most recent data for The Grove at New Castle. For the most recent information, click here.
A list of the most recent deficiencies for The Grove at New Castle. 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 a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2020-02-21 | 2020-03-10 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-02-21 | 2020-03-10 | 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 | 2020-02-21 | 2020-03-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-01-31 | 2019-03-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-31 | 2019-03-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-31 | 2019-03-04 | 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 | 2019-01-31 | 2019-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-31 | 2019-03-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-14 | 2019-01-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-14 | 2019-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-14 | 2019-01-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Develop a communication plan. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-01-11 | 2018-03-23 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish methods for sharing information. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-01-11 | 2018-02-10 | 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 | 2018-01-11 | 2018-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-11 | 2018-02-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-01-09 | 2018-01-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-01-09 | 2018-01-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-01-09 | 2018-01-31 | N |
