A list of the most recent deficiencies for The Grove at Washington. 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-22 | 2024-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-22 | 2024-01-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-22 | 2024-01-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-22 | 2024-01-03 | 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 | 2023-11-22 | 2024-01-03 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-11-22 | 2024-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2024-01-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-11-22 | 2024-01-03 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-11-22 | 2024-01-03 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-11-22 | 2024-01-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-22 | 2024-01-03 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-11-22 | 2024-01-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-22 | 2024-01-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-20 | 2023-12-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-15 | 2023-10-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-15 | 2023-10-12 | Y |
| 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 | 2023-09-15 | 2023-10-12 | Y |
| 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 | 2023-09-15 | 2023-10-12 | Y |
| Keep all essential equipment working safely. | Health | 2023-09-15 | 2023-10-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-23 | 2023-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-08-23 | 2023-09-21 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-23 | 2023-09-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-10 | 2023-03-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-10 | 2023-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-10 | 2023-03-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-10 | 2023-03-24 | 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 | 2023-02-10 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-10 | 2023-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-15 | 2023-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-15 | 2023-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-26 | 2022-11-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-26 | 2022-11-11 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-01 | 2022-06-20 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-01 | 2022-06-20 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-08 | 2022-04-16 | 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 | 2022-03-08 | 2022-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-04-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-03-08 | 2022-04-16 | 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 | 2022-02-03 | 2022-03-03 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-03 | 2022-03-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-02-03 | 2022-03-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-03 | 2022-03-03 | Y |
| 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 | 2023-06-22 | Not Fixed | Y |
