Deficiency Records for Green Acres Healthcare Center
Updated as of June 01, 2020
This is not the most recent data for Green Acres Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 ne | 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 |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-12-31 | 2019-01-18 | Y |
| 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 | 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 ne | 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 |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-03-29 | 2018-04-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-29 | 2018-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-12 | 2018-03-20 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-05-27 | 2017-06-21 | N |
| 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 | 2017-05-27 | 2017-06-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-27 | 2017-06-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-27 | 2017-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-27 | 2017-06-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-27 | 2017-06-21 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-27 | 2017-06-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-05-27 | 2017-06-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-27 | 2017-06-21 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-05-27 | 2017-06-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-05-27 | 2017-06-21 | N |
| Provide bedrooms that have direct access to an exit hallway. | Health | 2017-05-27 | 2017-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-27 | 2017-06-21 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-05-27 | 2017-06-21 | 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 | 2017-05-27 | 2017-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-27 | 2017-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-27 | 2017-06-19 | N |
