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Deficiency Records for The Grove Post Acute
View the most recent health deficiencies and inspection results for The Grove Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Grove Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-10 | 2026-02-24 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-10 | 2026-02-24 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-12-31 | 2026-01-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-19 | 2025-07-11 | 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 | 2025-06-19 | 2025-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-19 | 2025-07-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-06-19 | 2025-07-10 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-19 | 2025-07-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-19 | 2025-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-19 | 2025-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-19 | 2025-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-19 | 2025-07-09 | 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 | 2025-06-19 | 2025-07-07 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-06-19 | 2025-07-07 | 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 | 2025-06-19 | 2025-07-07 | 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 | 2025-06-19 | 2025-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-19 | 2025-07-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-19 | 2025-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-19 | 2025-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-19 | 2025-06-26 | N |
| 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 | 2025-06-19 | 2025-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-19 | 2025-06-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-19 | 2025-06-26 | N |
| 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 | 2025-06-19 | 2025-06-25 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-19 | 2025-06-24 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-06-19 | 2025-06-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-02-12 | 2025-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-19 | 2024-12-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-19 | 2024-12-06 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-02 | 2024-05-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-02 | 2024-05-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-02 | 2024-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-12 | 2023-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-12 | 2023-08-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-02 | 2023-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-02 | 2022-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2022-12-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2022-12-02 | 2022-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-02 | 2022-12-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-02 | 2022-12-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-02 | 2022-12-28 | 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 | 2022-12-02 | 2022-12-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-02 | 2022-12-28 | N |