A list of the most recent deficiencies for The Grove at Harmony. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-02-06 | Y |
| 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 | 2023-09-13 | 2023-10-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-14 | 2023-08-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-14 | 2023-07-29 | 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 | 2023-06-14 | 2023-07-29 | N |
| Provide large enough exits. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-14 | 2023-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-09 | 2023-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-09 | 2023-07-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-06-09 | 2023-07-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-09 | 2023-07-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-25 | 2023-02-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-25 | 2023-02-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-16 | 2023-01-11 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-12-16 | 2023-01-11 | Y |
| Meet other general requirements. | Fire Safety | 2022-07-25 | 2022-09-06 | 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 | 2022-07-25 | 2022-09-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-25 | 2022-09-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-25 | 2022-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-25 | 2022-09-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-25 | 2022-09-06 | 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 | 2022-07-21 | 2022-08-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-21 | 2022-08-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-07-21 | 2022-08-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-21 | 2022-08-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-21 | 2022-08-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-21 | 2022-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-21 | 2022-08-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-29 | 2021-05-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-22 | 2021-05-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-22 | 2021-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-05-25 | 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 | 2021-04-22 | 2021-05-25 | 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 | 2021-04-22 | 2021-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-22 | 2021-05-25 | N |
| Dispose of garbage and refuse properly. | Health | 2021-04-22 | 2021-05-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-04-22 | 2021-05-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-29 | 2021-05-25 | N |
