A list of the most recent deficiencies for Gramercy Court. 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-09 | 2023-11-20 | Y |
| 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 | 2023-09-18 | 2023-10-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-18 | 2023-10-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-02 | 2023-03-20 | 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 | 2022-12-05 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-16 | 2022-11-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-15 | 2022-09-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-03 | 2022-08-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-31 | 2022-06-10 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-31 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-14 | 2022-02-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-14 | 2022-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-14 | 2022-02-16 | 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 | 2022-01-14 | 2022-02-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-01-14 | 2022-02-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-14 | 2022-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-16 | N |
| Keep all essential equipment working safely. | Health | 2022-01-14 | 2022-02-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-01-14 | 2022-02-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-07 | 2020-02-04 | 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 | 2020-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2020-02-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-11-07 | 2020-01-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2020-01-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-07 | 2020-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2020-01-08 | 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 | 2019-11-07 | 2020-01-08 | 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 | 2019-11-07 | 2020-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-07 | 2020-01-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-18 | 2019-12-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-18 | 2019-12-09 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-18 | 2019-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-18 | 2019-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-18 | 2019-12-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-18 | 2019-12-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Develop a communication plan. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-31 | 2019-02-14 | 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 | 2019-01-31 | 2019-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-02-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-31 | 2019-02-14 | 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 | 2018-12-13 | 2019-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-02-07 | N |
| Dispose of garbage and refuse properly. | Health | 2018-12-13 | 2019-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-13 | 2019-02-07 | N |
