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Deficiency Records for Green Acres Healthcare Center
View the most recent health deficiencies and inspection results for Green Acres Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Green Acres Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-13 | 2026-04-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-13 | 2026-04-06 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-13 | 2026-04-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-03-13 | 2026-04-06 | N |
| Post nurse staffing information every day. | Health | 2026-03-13 | 2026-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-03-13 | 2026-04-06 | 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 | 2026-03-13 | 2026-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-13 | 2026-04-06 | 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 | 2026-03-13 | 2026-04-06 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-03-13 | 2026-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-13 | 2026-04-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2026-03-13 | 2026-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-07 | 2025-03-05 | 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 | 2025-02-07 | 2025-03-05 | N |
| Provide bedrooms that have direct access to an exit hallway. | Health | 2025-02-07 | 2025-03-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-02-07 | 2025-03-05 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2025-02-07 | 2025-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-07 | 2025-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-07 | 2025-03-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-02-07 | 2025-03-05 | 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 | 2025-02-07 | 2025-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-07 | 2025-03-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-02-07 | 2025-03-05 | 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 | 2025-02-07 | 2025-03-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-02-07 | 2025-03-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-07 | 2025-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-07 | 2025-03-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-07 | 2025-03-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-09 | 2024-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-09 | 2024-03-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-09 | 2024-03-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-09 | 2024-03-20 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-02-09 | 2024-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-09 | 2024-03-20 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-09 | 2024-03-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-09 | 2024-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-20 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2024-02-09 | 2024-03-20 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-02-09 | 2024-03-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-09 | 2024-03-20 | N |
| Provide bedrooms that have direct access to an exit hallway. | Health | 2024-02-09 | 2024-03-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-09 | 2024-03-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-09 | 2024-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-09 | 2024-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-03-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-09 | 2024-03-20 | 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 | 2024-02-09 | 2024-03-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-09 | 2024-03-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-15 | 2024-01-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-15 | 2024-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-16 | 2023-07-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-16 | 2023-07-31 | Y |