Deficiency Records for Grayson Rehabilitation and Health Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Grayson Rehabilitation and Health Care Center. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-22 | 2022-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-22 | 2022-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-22 | 2022-06-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-22 | 2022-06-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-22 | 2022-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-22 | 2022-06-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-07 | 2022-05-18 | 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 | 2022-04-07 | 2022-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-07 | 2022-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-07 | 2022-05-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-07 | 2022-05-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-07 | 2022-05-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-07 | 2022-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-07 | 2022-05-17 | 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 | 2019-01-31 | 2019-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-31 | 2019-03-13 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-01-31 | 2019-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-13 | 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 | 2019-01-31 | 2019-03-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-31 | 2019-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-31 | 2019-03-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-31 | 2019-03-13 | 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 | 2019-01-31 | 2019-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-11-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-26 | 2017-11-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-26 | 2017-11-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-11-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-10-26 | 2017-11-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-26 | 2017-11-21 | N |
