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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-25 | 2024-02-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-25 | 2024-02-29 | 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 | 2024-01-25 | 2024-02-29 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-25 | 2024-02-29 | N |
| 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 | 2024-01-25 | 2024-02-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-25 | 2024-02-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide activities to meet all resident's needs. | Health | 2024-01-25 | 2024-02-29 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2024-02-29 | 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 | 2024-01-25 | 2024-02-29 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-25 | 2024-02-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-25 | 2024-02-29 | N |
| Post nurse staffing information every day. | Health | 2024-01-25 | 2024-02-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-25 | 2024-02-29 | 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 | 2024-01-25 | 2024-02-29 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-01-25 | 2024-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-29 | 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 | 2024-01-25 | 2024-02-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-25 | 2024-02-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-25 | 2024-02-29 | 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 | 2024-01-25 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-24 | 2024-02-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-08 | 2023-12-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-11 | 2023-11-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-11 | 2023-11-03 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-10-11 | 2023-11-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-11 | 2023-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-26 | 2023-07-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-09 | 2023-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-05-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-09 | 2023-05-24 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-09 | 2023-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-09 | 2023-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-09 | 2023-05-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-09 | 2023-05-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-05-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-24 | 2023-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-24 | 2023-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-05-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-24 | 2023-05-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-23 | 2023-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-08 | 2023-04-28 | 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 | 2023-03-08 | 2023-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-04-28 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-02-24 | 2023-04-19 | 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 | 2023-02-24 | 2023-04-19 | Y |
| 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 | 2023-02-24 | 2023-04-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-24 | 2023-04-19 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-24 | 2023-04-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-24 | 2023-04-19 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-24 | 2023-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-24 | 2023-04-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-24 | 2023-04-19 | Y |
| Provide appropriate foot care. | Health | 2023-02-24 | 2023-04-19 | 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 | 2023-02-24 | 2023-04-19 | 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 | 2023-02-24 | 2023-04-19 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-24 | 2023-04-19 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-23 | 2023-03-31 | 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 | 2023-02-23 | 2023-03-31 | 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 | 2023-02-23 | 2023-03-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-23 | 2023-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-20 | 2023-01-20 | Y |
| 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 | 2022-12-20 | 2023-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-20 | 2023-01-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-20 | 2023-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-20 | 2023-01-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-20 | 2023-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-20 | 2023-01-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-20 | 2023-01-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-08 | 2022-10-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-08 | 2022-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-08 | 2022-10-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-25 | 2022-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-13 | 2022-07-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-31 | 2022-05-10 | 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 | 2022-03-31 | 2022-05-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-31 | 2022-05-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-31 | 2022-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-31 | 2022-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-31 | 2022-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-05-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-31 | 2022-05-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-03-31 | 2022-05-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-31 | 2022-05-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-31 | 2022-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-05-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-03-31 | 2022-05-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-11 | 2022-05-05 | N |
| Meet other general requirements. | Fire Safety | 2022-04-11 | 2022-05-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-04-11 | 2022-05-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-11 | 2022-05-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-11 | 2022-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-14 | 2021-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-14 | 2021-10-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-26 | 2021-08-18 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-26 | 2021-08-18 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-26 | 2021-08-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-26 | 2021-08-18 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-07-26 | 2021-08-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-26 | 2021-08-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-26 | 2021-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-24 | 2021-06-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-24 | 2021-06-21 | Y |
