A list of the most recent deficiencies for Palm Grove Health Care. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-31 | 2024-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-11 | 2022-10-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-25 | 2022-05-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-03 | 2022-03-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-03 | 2022-03-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-03 | 2022-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-03 | 2022-03-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-03 | 2022-03-16 | 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 | 2022-02-03 | 2022-03-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-03 | 2022-03-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-03 | 2022-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-03 | 2022-03-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-02-03 | 2022-03-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-07 | 2022-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-20 | 2022-02-14 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-10 | 2021-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-11 | 2021-06-03 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-11-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-10 | 2019-11-07 | 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 | 2019-10-10 | 2019-11-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-10-10 | 2019-11-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-10 | 2019-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-10 | 2019-11-07 | 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 | 2019-10-10 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-10 | 2019-11-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-07 | 2019-02-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-08 | 2018-12-20 | 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 | 2018-11-08 | 2018-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-08 | 2018-12-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-11-08 | 2018-12-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-08 | 2018-12-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-08 | 2018-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2018-12-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-08 | 2018-12-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-11-08 | 2018-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-08 | 2018-12-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-11-08 | 2018-12-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-11-08 | 2018-12-20 | 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 | 2018-11-08 | 2018-12-20 | 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 | 2018-11-08 | 2018-12-20 | N |
| Provide or obtain dental services for each resident. | Health | 2018-11-08 | 2018-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2018-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-08 | 2018-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2018-12-20 | N |
