Deficiency Records for Green Acres Healthcare Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Green Acres Healthcare Center. 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?
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
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-12-15 2024-01-12 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
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-19 2023-06-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-19 2023-06-15 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-05-19 2023-06-15 Y
Ensure that residents are free from significant medication errors. Health 2023-05-19 2023-06-15 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-05-19 2023-06-15 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-05-19 2023-06-15 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-15 2023-01-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-15 2023-01-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-22 2022-05-20 Y
Respond appropriately to all alleged violations. Health 2022-03-22 2022-05-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-01 2022-03-15 Y
Provide and implement an infection prevention and control program. Health 2021-11-09 2022-02-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-21 2022-02-01 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-11-11 2022-01-26 N
Construct fire resistant interior walls. Fire Safety 2021-11-11 2022-01-26 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-11-11 2022-01-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-11-11 2022-01-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-11 2022-01-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-11-11 2022-01-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-05 2021-12-23 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-11-05 2021-12-23 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-05 2021-12-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-05 2021-12-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-05 2021-12-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-05 2021-12-23 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 2021-11-05 2021-12-23 N
Provide enough food/fluids to maintain a resident's health. Health 2021-11-05 2021-12-23 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 2021-11-05 2021-12-23 N
Post nurse staffing information every day. Health 2021-11-05 2021-12-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-05 2021-12-23 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 2021-11-05 2021-12-23 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 2021-11-05 2021-12-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-05 2021-12-23 N
Provide and implement an infection prevention and control program. Health 2021-11-05 2021-12-23 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 2021-11-05 2021-12-23 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-11-05 2021-12-23 N
Provide bedrooms that have direct access to an exit hallway. Health 2021-11-05 2021-12-23 N
Provide and implement an infection prevention and control program. Health 2021-08-25 2021-10-18 Y
Perform COVID19 testing on residents and staff. Health 2021-08-25 2021-10-18 Y
Keep residents' personal and medical records private and confidential. Health 2019-06-06 2019-07-08 N
Ensure each resident receives an accurate assessment. Health 2019-06-06 2019-07-08 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 2019-06-06 2019-07-08 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-06-06 2019-07-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-06-06 2019-07-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-06-06 2019-07-08 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 2019-06-06 2019-07-08 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 2019-06-06 2019-07-08 N
Ensure medication error rates are not 5 percent or greater. Health 2019-06-06 2019-07-08 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2019-06-06 2019-07-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-06-06 2019-07-08 N
Provide and implement an infection prevention and control program. Health 2019-06-06 2019-07-08 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 2019-06-06 2019-07-08 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-06-06 2019-07-08 N
Provide bedrooms that have direct access to an exit hallway. Health 2019-06-06 2019-07-08 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 2019-06-14 2019-07-08 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-06-14 2019-07-08 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2019-06-14 2019-07-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-06-14 2019-07-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-14 2019-07-08 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 2018-05-24 2018-06-19 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2018-05-24 2018-06-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-05-24 2018-06-19 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-05-24 2018-06-19 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 2018-05-24 2018-06-19 N
Ensure medication error rates are not 5 percent or greater. Health 2018-05-24 2018-06-19 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 2018-05-24 2018-06-19 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2018-05-24 2018-06-19 N
Provide bedrooms that have direct access to an exit hallway. Health 2018-05-24 2018-06-19 N
List the names and contact information of those in the facility. Fire Safety 2018-05-30 2018-06-18 N
Provide emergency officials' contact information. Fire Safety 2018-05-30 2018-06-18 N
Conduct testing and exercise requirements. Fire Safety 2018-05-30 2018-06-18 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-05-30 2018-06-18 N
Meet other general requirements that are deficient. Fire Safety 2018-05-30 2018-06-18 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 2018-05-30 2018-06-18 N
Construct fire resistant interior walls. Fire Safety 2018-05-30 2018-06-18 N
Install an approved automatic sprinkler system. Fire Safety 2018-05-30 2018-06-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-05-30 2018-06-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-05-30 2018-06-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-05-30 2018-06-18 N
Meet other general requirements. Fire Safety 2018-05-30 2018-06-18 N