Deficiency Records for The Grove Post Acute
Updated as of July 01, 2022
This is not the most recent data for The Grove Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for The Grove Post Acute. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-20 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-06 | 2020-01-06 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-22 | 2019-09-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-30 | 2019-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-30 | 2019-08-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-30 | 2019-08-30 | 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 | 2019-07-30 | 2019-08-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-30 | 2019-08-30 | 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 | 2019-07-30 | 2019-08-30 | 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 | 2019-07-30 | 2019-08-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-07-30 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-30 | 2019-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-30 | 2019-08-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-30 | 2019-08-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-31 | 2018-08-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-07-31 | 2018-08-31 | 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 | 2018-07-31 | 2018-08-31 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-31 | 2018-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-31 | 2018-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-31 | 2018-08-31 | 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 | 2018-07-31 | 2018-08-31 | 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 | 2018-07-31 | 2018-08-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-07-31 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-31 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-31 | 2018-08-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-31 | 2018-08-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-26 | 2017-08-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-07-26 | 2017-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-26 | 2017-08-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-07-26 | 2017-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-26 | 2017-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-08-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-20 | 2017-08-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-20 | 2017-08-20 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2017-07-20 | 2017-08-20 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-20 | 2017-08-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-08-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-20 | 2017-08-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-20 | 2017-08-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-20 | 2017-08-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-20 | 2017-08-20 | N |
