A list of the most recent deficiencies for The Grove Care and Wellness. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-06 | 2023-12-20 | 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 | 2023-12-06 | 2023-12-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-06 | 2023-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2023-12-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-06 | 2023-12-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-12 | 2023-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-11-30 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-04 | 2022-11-30 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-08 | 2022-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2022-11-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-11-08 | 2022-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-08 | 2022-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-09-22 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-09-08 | 2022-09-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-22 | 2021-12-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-21 | 2021-10-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-21 | 2021-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-21 | 2021-10-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-04 | 2019-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-10-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-06 | 2019-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-06 | 2019-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-06 | 2019-10-04 | N |
