Deficiency Records for Grace Pointe Wellness Center
Updated as of March 01, 2023
This is not the most recent data for Grace Pointe Wellness Center. For the most recent information, click here.
A list of the most recent deficiencies for Grace Pointe Wellness 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? |
|---|---|---|---|---|
| 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 | 2022-09-30 | 2022-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-30 | 2022-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-11-15 | N |
| Post nurse staffing information every day. | Health | 2022-09-30 | 2022-11-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-30 | 2022-11-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-30 | 2022-11-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-30 | 2022-11-15 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2022-09-30 | 2022-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2022-11-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-30 | 2022-11-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-30 | 2022-11-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-08 | 2022-06-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-08 | 2022-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-23 | 2021-08-31 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-23 | 2021-08-31 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-07-23 | 2021-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-08-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-23 | 2021-08-31 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-21 | 2021-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-21 | 2021-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-21 | 2021-08-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-09 | 2021-07-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-09 | 2021-07-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-02-08 | 2021-03-17 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-09-15 | 2020-10-15 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2020-09-15 | 2020-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-12 | 2020-09-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-08 | 2019-12-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-08 | 2019-12-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-08 | 2019-12-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-08 | 2019-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2019-12-23 | N |
| 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 | 2019-11-08 | 2019-12-23 | 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 | 2019-11-08 | 2019-12-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-08 | 2019-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-08 | 2019-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-12-23 | 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 | 2019-11-06 | 2019-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-06 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-06 | 2019-12-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-11-06 | 2019-12-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-06 | Not Fixed | N |
