Deficiency Records for Granite Hills Healthcare and Wellness Centre, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Granite Hills Healthcare and Wellness Centre, LLC. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-14 | 2024-03-15 | Y |
| 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 | 2023-10-20 | 2023-11-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-13 | 2023-09-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-13 | 2023-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-07-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-18 | 2023-05-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-18 | 2023-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-18 | 2023-05-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-25 | 2023-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-20 | 2023-01-17 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-30 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-02 | 2022-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-20 | 2022-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-12 | 2022-09-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-16 | 2022-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-30 | 2022-01-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-19 | 2021-12-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-14 | 2021-11-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-27 | 2021-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-17 | 2021-08-09 | 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 | 2021-06-17 | 2021-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-17 | 2021-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-17 | 2021-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-17 | 2021-08-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-17 | 2021-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-17 | 2021-08-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-17 | 2021-08-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-17 | 2021-08-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-06-17 | 2021-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-08-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-06-17 | 2021-08-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-06-17 | 2021-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-17 | 2021-08-09 | 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 | 2021-06-16 | 2021-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-16 | 2021-07-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-22 | 2021-07-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-14 | 2021-07-28 | Y |
| Establish methods for sharing information. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-04 | 2019-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-08 | 2019-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-08 | 2019-09-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-08 | 2019-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-08 | 2019-09-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-08 | 2019-09-08 | 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 | 2019-08-08 | 2019-09-08 | 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 | 2019-08-08 | 2019-09-08 | 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 | 2019-08-08 | 2019-09-08 | 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 | 2019-08-08 | 2019-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-08 | 2019-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-08 | 2019-09-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-26 | 2018-10-15 | 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 | 2018-09-26 | 2018-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-07-12 | 2018-08-12 | 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 | 2018-07-12 | 2018-08-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-12 | 2018-08-12 | 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 | 2018-07-12 | 2018-08-12 | 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 | 2018-07-12 | 2018-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-12 | N |
