Deficiency Records for The Grove Care and Wellness
Updated as of February 01, 2020
This is not the most recent data for The Grove Care and Wellness. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 | 2019-02-20 | 2019-03-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-20 | 2019-03-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-28 | 2019-02-15 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-01-28 | 2019-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-28 | 2019-02-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Develop a communication plan. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-12-18 | 2019-01-07 | 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 | 2018-10-19 | 2018-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2018-11-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-19 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-19 | 2018-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-19 | 2018-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-19 | 2018-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-19 | 2018-11-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-10-19 | 2018-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-19 | 2018-11-16 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-10-19 | 2018-11-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-09 | 2018-07-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2018-05-09 | 2018-07-02 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2018-05-09 | 2018-07-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-05 | 2018-03-21 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-12-26 | 2018-01-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-29 | 2017-12-20 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-27 | 2017-12-20 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-11-27 | 2017-12-20 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-27 | 2017-12-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-19 | 2017-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-19 | 2017-11-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-19 | 2017-11-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-19 | 2017-11-20 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-19 | 2017-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-19 | 2017-11-20 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-10-19 | 2017-11-20 | N |
| Make sure that all required doctor visits are made personally. | Health | 2017-10-19 | 2017-11-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-19 | 2017-11-20 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-10-19 | 2017-11-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-19 | 2017-11-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-10 | 2017-11-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-16 | 2017-07-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-29 | 2017-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-29 | 2017-04-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-29 | 2017-04-28 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-29 | 2017-04-28 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-29 | 2017-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-04-21 | Y |
