Deficiency Records for The Grove at Latrobe
Updated as of February 01, 2019
This is not the most recent data for The Grove at Latrobe. For the most recent information, click here.
A list of the most recent deficiencies for The Grove at Latrobe. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2018-09-06 | 2018-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-06 | 2018-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-06 | 2018-11-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-06 | 2018-11-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-06 | 2018-11-01 | 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 | 2018-09-06 | 2018-10-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-06 | 2018-10-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-06 | 2018-10-04 | 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 | 2018-09-06 | 2018-10-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-09-06 | 2018-10-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-09-06 | 2018-10-04 | 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 ne | Health | 2018-09-06 | 2018-10-04 | 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 | 2018-09-06 | 2018-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-06 | 2018-10-04 | 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 | 2018-09-06 | 2018-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-10-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-06 | 2018-10-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-06 | 2018-10-04 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-09-10 | 2018-09-24 | 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 | 2018-09-10 | 2018-09-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-14 | 2018-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-14 | 2018-09-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-14 | 2018-09-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-14 | 2018-09-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-20 | 2018-08-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-20 | 2018-08-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-30 | 2018-06-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-30 | 2018-06-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-30 | 2018-06-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-30 | 2018-06-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-30 | 2018-06-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-30 | 2018-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-30 | 2018-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-30 | 2018-06-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-30 | 2018-06-07 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-04-30 | 2018-06-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-30 | 2018-06-07 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-30 | 2018-06-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-30 | 2018-06-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-01-09 | 2018-01-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-09 | 2018-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-09 | 2018-01-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-09 | 2018-01-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-12 | 2017-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-12 | 2017-11-07 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-10 | 2017-09-07 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-10 | 2017-09-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-10 | 2017-09-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-10 | 2017-09-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-10 | 2017-09-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-10 | 2017-09-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-10 | 2017-09-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-09-07 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-08-10 | 2017-09-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-10 | 2017-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-10 | 2017-09-07 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-05-17 | 2017-06-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-17 | 2017-06-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-05 | 2017-06-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-05 | 2017-05-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-05 | 2017-05-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-05 | 2017-05-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-05 | 2017-05-04 | Y |
| Evaluate a resident?s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. | Health | 2017-04-05 | 2017-05-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-05 | 2017-05-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-25 | 2017-02-03 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-25 | 2017-02-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-25 | 2017-02-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-09 | 2016-11-23 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-11-09 | 2016-11-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-09 | 2016-11-23 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-09 | 2016-11-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-09 | 2016-11-23 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-11-09 | 2016-11-23 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-09 | 2016-11-23 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-09 | 2016-11-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-09 | 2016-11-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-09 | 2016-11-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-09-23 | 2016-11-23 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-23 | 2016-11-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-23 | 2016-11-23 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-09-23 | 2016-11-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-23 | 2016-11-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-23 | 2016-11-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-09-23 | 2016-11-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-23 | 2016-11-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-23 | 2016-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-23 | 2016-11-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-23 | 2016-11-09 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-09-23 | 2016-11-09 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-09-23 | 2016-11-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-23 | 2016-11-09 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2016-09-23 | 2016-11-09 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-27 | 2016-10-07 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-09-27 | 2016-10-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-27 | 2016-10-07 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-05 | 2016-04-26 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-05 | 2016-04-26 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-05 | 2016-04-26 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-05 | 2016-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-15 | 2016-04-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-15 | 2016-04-01 | Y |
