Deficiency Records for The Grove at New Castle
Updated as of July 01, 2018
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? |
|---|---|---|---|---|
| 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 protected exits that allow the resident to escape the building. | 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 |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-12 | 2017-05-09 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-04-12 | 2017-05-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-02-08 | 2017-03-01 | 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 | 2017-02-08 | 2017-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-08 | 2017-03-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-02-08 | 2017-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-08 | 2017-03-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-02-03 | 2017-02-28 | N |
| Let residents talk to and get information from agencies acting on their behalf. | Health | 2017-02-03 | 2017-02-28 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-02-03 | 2017-02-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-03 | 2017-02-28 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-02-03 | 2017-02-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-03 | 2017-02-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-03 | 2017-02-28 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-02-03 | 2017-02-28 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-03 | 2017-02-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-03 | 2017-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-03 | 2017-02-28 | N |
| Keep all essential equipment working safely. | Health | 2017-02-03 | 2017-02-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| Proper backup exit lighting. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-26 | 2016-02-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-14 | 2016-02-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-14 | 2016-02-02 | N |
