CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Grace Care Center of Henrietta
View the most recent health deficiencies and inspection results for Grace Care Center of Henrietta. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Grace Care Center of Henrietta. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Dispose of garbage and refuse properly. | Health | 2026-03-05 | 2026-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-18 | 2025-11-19 | 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 | 2025-07-30 | 2025-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-30 | 2025-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-30 | 2025-08-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-30 | 2025-08-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-30 | 2025-08-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-07-30 | 2025-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-30 | 2025-08-30 | 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 | 2025-07-30 | 2025-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-30 | 2025-08-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-30 | 2025-08-05 | 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 | 2025-07-30 | 2025-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-30 | 2025-08-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-04-25 | 2025-05-20 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-04-25 | 2025-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-25 | 2025-05-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-25 | 2025-05-20 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-04-25 | 2025-05-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-25 | 2025-05-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-25 | 2025-05-20 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-04-25 | 2025-05-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-04-25 | 2025-05-20 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-04-25 | 2025-05-20 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-25 | 2025-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-25 | 2025-05-20 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-01-03 | 2025-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-03 | 2025-01-27 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-10-25 | 2024-11-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-25 | 2024-11-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-25 | 2024-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-25 | 2024-11-10 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-10-25 | 2024-11-10 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-10-25 | 2024-11-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-07 | 2024-07-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-07 | 2024-07-05 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-01 | 2024-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-01 | 2024-06-14 | 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 | 2024-05-01 | 2024-06-14 | 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 | 2024-05-01 | 2024-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-01 | 2024-06-01 | 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 | 2024-05-01 | 2024-06-01 | 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 | 2024-05-01 | 2024-06-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-05-01 | 2024-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-01 | 2024-06-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-01 | 2024-06-01 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-05-01 | 2024-06-01 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-05-01 | 2024-06-01 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-05-01 | 2024-06-01 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-05-01 | 2024-06-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-01 | 2024-06-01 | N |
| Post nurse staffing information every day. | Health | 2024-05-01 | 2024-06-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-01 | 2024-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-01 | 2024-06-01 | 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 | 2024-05-01 | 2024-06-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-01 | 2024-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-01 | 2024-05-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-08 | 2024-03-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-08 | 2024-03-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-01 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-09-06 | 2023-10-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-06 | 2023-10-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-15 | 2023-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-15 | 2023-04-28 | 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 | 2023-03-15 | 2023-04-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-04-13 | 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 | 2023-03-15 | 2023-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-15 | 2023-04-13 | N |