Deficiency Records for Grande Prairie Care and Rehab Ctr LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Grande Prairie Care and Rehab Ctr LLC. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-08 | 2024-01-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-08 | 2024-01-31 | Y |
| 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 | 2024-01-08 | 2024-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-01-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-08 | 2024-01-24 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-09-11 | 2023-11-03 | 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 | 2023-09-12 | 2023-10-05 | 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 | 2023-09-12 | 2023-10-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-12 | 2023-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-05 | Y |
| 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 | 2023-09-11 | 2023-10-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-11 | 2023-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-11 | 2023-10-05 | 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 | 2023-03-09 | 2023-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-04-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-09 | 2023-04-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-04-07 | 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 | 2023-03-09 | 2023-04-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-09 | 2022-06-07 | 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 | 2022-05-09 | 2022-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-09 | 2022-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-09 | 2022-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-09 | 2022-06-07 | 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 | 2022-05-09 | 2022-06-07 | 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 | 2022-05-09 | 2022-06-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-09 | 2022-06-07 | 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 | 2022-05-09 | 2022-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-06-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-05-09 | 2022-06-07 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-09 | 2022-06-07 | 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 | 2022-05-09 | 2022-06-07 | 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 | 2022-05-09 | 2022-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-09 | 2022-06-07 | Y |
| Provide appropriate foot care. | Health | 2022-05-09 | 2022-06-07 | Y |
| 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 | 2022-05-09 | 2022-06-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-09 | 2022-06-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-09 | 2022-06-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-09 | 2022-06-07 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-29 | 2022-06-07 | 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 | 2022-04-29 | 2022-06-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-29 | 2022-06-07 | 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 | 2022-04-29 | 2022-06-07 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-04-29 | 2022-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-29 | 2022-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-29 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-29 | 2022-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-29 | 2022-06-07 | 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 | 2022-03-18 | 2022-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-18 | 2022-04-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-18 | 2022-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-18 | 2022-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-18 | 2022-04-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-22 | 2022-01-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-22 | 2022-01-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2022-01-20 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-22 | 2022-01-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-11 | 2021-12-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-06-30 | 2021-07-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-30 | 2021-07-30 | 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 | 2021-06-30 | 2021-07-30 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-06-30 | 2021-07-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-30 | 2021-07-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-04 | 2021-03-05 | N |
| Respond appropriately to all alleged violations. | Health | 2021-02-04 | 2021-03-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-04 | 2021-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-04 | 2021-03-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-04 | 2021-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-04 | 2021-03-05 | 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 | 2021-02-04 | 2021-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-03-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-02-04 | 2021-03-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-02-04 | 2021-03-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-02-05 | 2021-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-05 | 2021-03-05 | N |
