Deficiency Records for Greenfield Care Center of Fillmore, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Greenfield Care Center of Fillmore, 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? |
|---|---|---|---|---|
| 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 | 2023-11-16 | 2023-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-16 | 2023-12-13 | 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 | 2023-11-16 | 2023-12-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-16 | 2023-12-13 | 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 | 2023-11-16 | 2023-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-13 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-20 | 2023-12-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-20 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-20 | 2023-12-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-20 | 2023-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-20 | 2023-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-20 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-24 | 2023-10-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-01 | 2023-05-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-01 | 2023-05-08 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-01 | 2023-05-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-06 | 2023-03-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-06 | 2023-03-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-02 | 2022-12-21 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-14 | 2022-05-25 | 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 | 2022-04-14 | 2022-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-14 | 2022-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-05-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-14 | 2022-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-14 | 2022-05-25 | 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 | 2022-04-14 | 2022-05-25 | 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 | 2022-04-14 | 2022-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-18 | 2022-04-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-09 | 2020-01-14 | 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 | 2019-12-09 | 2020-01-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-09 | 2020-01-14 | N |
| Keep all essential equipment working safely. | Health | 2019-11-07 | 2019-12-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-07 | 2019-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2019-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-11-07 | N |
