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Deficiency Records for Greenhaven Healthcare Center
View the most recent health deficiencies and inspection results for Greenhaven Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Greenhaven Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-02 | 2026-04-23 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-04-02 | 2026-04-23 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-02-26 | 2026-04-06 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-03-12 | 2026-04-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-26 | 2026-03-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-26 | 2026-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-02-26 | 2026-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-26 | 2026-03-25 | N |
| Use approved construction type or materials. | Fire Safety | 2026-02-26 | 2026-03-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-26 | 2026-03-20 | 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 | 2026-02-26 | 2026-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-26 | 2026-03-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-26 | 2026-03-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-02-26 | 2026-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-26 | 2026-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-26 | 2026-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-26 | 2026-03-20 | 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 | 2026-02-26 | 2026-03-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2026-02-26 | 2026-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-26 | 2026-03-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2026-02-26 | 2026-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-26 | 2026-03-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-02-26 | 2026-03-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2026-02-26 | 2026-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-16 | 2026-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-24 | 2025-12-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-18 | 2025-08-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-12 | 2025-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-24 | 2025-05-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-24 | 2025-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-03 | 2025-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-10 | 2025-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-26 | 2025-03-14 | 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 | 2025-02-26 | 2025-03-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-04 | 2025-02-06 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-12-26 | 2025-01-24 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-11-08 | 2024-12-10 | 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 | 2024-11-08 | 2024-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-08 | 2024-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-08 | 2024-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-08 | 2024-12-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-08 | 2024-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-08 | 2024-12-06 | 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 | 2024-11-08 | 2024-12-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-08 | 2024-12-06 | 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 | 2024-11-08 | 2024-12-06 | 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 | 2024-11-08 | 2024-12-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-08 | 2024-12-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-08 | 2024-12-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-08 | 2024-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-08 | 2024-12-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-11-08 | 2024-12-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-08 | 2024-12-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-08 | 2024-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-08 | 2024-12-04 | N |
| Respond appropriately to all alleged violations. | Health | 2024-11-27 | 2024-12-03 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-08 | 2024-11-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-11-08 | 2024-11-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-08 | 2024-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-08 | 2024-11-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-08 | 2024-11-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-11-08 | 2024-11-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-08 | 2024-11-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-11-08 | 2024-11-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-11-08 | 2024-11-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-11-08 | 2024-11-16 | 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 | 2024-11-08 | 2024-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-08 | 2024-11-15 | 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 | 2024-11-08 | 2024-11-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-08 | 2024-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-08 | 2024-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-05 | 2024-09-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-18 | 2024-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-06-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-26 | 2024-05-23 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-24 | 2024-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-05-15 | Y |
| 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 | 2024-01-20 | 2024-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-14 | 2023-11-28 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-10-29 | 2023-11-10 | Y |
| 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 | 2023-10-30 | 2023-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-22 | 2023-09-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-09 | 2023-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-09 | 2023-07-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-09 | 2023-07-12 | 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 | 2023-06-09 | 2023-07-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-09 | 2023-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-07-12 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-06-09 | 2023-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-09 | 2023-07-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-09 | 2023-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-07-12 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-09 | 2023-06-26 | 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 | 2023-06-09 | 2023-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-06-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-09 | 2023-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-06-26 | N |