Deficiency Records for The Grove Care and Wellness
Updated as of April 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 | 2018-12-18 | 2019-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-18 | 2019-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | 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 |
| 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 | 2017-11-02 | 2017-12-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-11-02 | 2017-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-02 | 2017-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-02 | 2017-12-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-11-02 | 2017-12-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-11-02 | 2017-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-02 | 2017-12-05 | N |
| 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 |
