A list of the most recent deficiencies for Glenville Health and Rehab. 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 | 2023-09-13 | 2023-10-04 | Y |
| 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 | 2023-09-13 | 2023-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-04 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-13 | 2023-10-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-28 | 2023-03-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-30 | 2023-01-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-30 | 2023-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-30 | 2023-01-26 | 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 | 2022-11-30 | 2023-01-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-30 | 2023-01-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-30 | 2023-01-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-30 | 2023-01-26 | N |
| Post nurse staffing information every day. | Health | 2022-11-30 | 2023-01-26 | 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 | 2022-11-30 | 2023-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2023-01-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-30 | 2023-01-26 | 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 | 2022-11-30 | 2023-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2023-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-29 | 2022-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-29 | 2022-12-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-23 | 2021-07-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-23 | 2021-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-23 | 2021-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-23 | 2021-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-07-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-23 | 2021-07-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-23 | 2021-07-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-23 | 2021-07-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-23 | 2021-07-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-23 | 2021-07-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-23 | 2021-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-23 | 2021-07-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-23 | 2021-07-19 | 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 | 2021-06-23 | 2021-07-19 | N |
| Post nurse staffing information every day. | Health | 2021-06-23 | 2021-07-19 | 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 | 2021-06-23 | 2021-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-23 | 2021-07-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-24 | 2019-05-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-24 | 2019-05-31 | 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 | 2019-04-24 | 2019-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-24 | 2019-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-24 | 2019-05-31 | 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 | 2019-04-24 | 2019-05-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-24 | 2019-05-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-24 | 2019-05-31 | 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 | 2019-04-24 | 2019-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-24 | 2019-05-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-24 | 2019-05-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-24 | 2019-05-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-24 | 2019-05-31 | 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 | 2019-04-24 | 2019-05-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-24 | 2019-05-31 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-24 | 2019-05-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-04-24 | 2019-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-24 | 2019-05-31 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-24 | 2019-05-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-24 | 2019-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-05-31 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-04-24 | 2019-05-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-04-23 | 2019-05-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-23 | 2019-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-23 | 2019-05-15 | N |
