A list of the most recent deficiencies for Grossmont Hospital D/p Snf. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-05-31 | 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 | 2023-05-18 | 2023-05-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-05-18 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-05-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-22 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-12 | 2019-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-12 | 2019-12-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-30 | 2019-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-30 | 2019-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-30 | 2019-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-30 | 2019-11-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Develop a communication plan. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-14 | 2019-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-07 | N |
