A list of the most recent deficiencies for Greenville Gardens. 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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-13 | 2023-07-31 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-04-14 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-01 | 2023-03-24 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-03-01 | 2023-03-24 | 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 | 2023-03-01 | 2023-03-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-01 | 2023-03-24 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-01 | 2023-03-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-01 | 2023-03-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-01 | 2023-03-24 | N |
Provide activities to meet all resident's needs. | Health | 2023-03-01 | 2023-03-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-01 | 2023-03-24 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-01 | 2023-03-24 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-01 | 2023-03-24 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-03-01 | 2023-03-24 | 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 | 2023-03-01 | 2023-03-24 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-01 | 2023-03-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-01 | 2023-03-24 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-01 | 2023-03-24 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-01 | 2023-03-24 | N |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2023-03-01 | 2023-03-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-01 | 2023-03-24 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-01 | 2023-03-24 | 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 | 2022-01-04 | 2022-01-06 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-04 | 2022-01-06 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-08 | 2021-12-31 | 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 | 2021-12-08 | 2021-12-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-08 | 2021-12-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2021-12-31 | 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 | 2021-12-08 | 2021-12-31 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-08 | 2021-12-31 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-08 | 2021-12-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2021-12-31 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2021-12-31 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-10-14 | 2021-10-15 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-24 | 2021-09-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-24 | 2021-09-30 | Y |
Respond appropriately to all alleged violations. | Health | 2021-09-24 | 2021-09-30 | 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 | 2020-09-09 | 2020-10-09 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-09-09 | 2020-10-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-09 | 2020-09-29 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-10 | 2020-09-24 | 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 | 2020-09-10 | 2020-09-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-10 | 2020-09-24 | 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 | 2020-09-10 | 2020-09-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-10 | 2020-09-24 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-10 | 2020-09-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-10 | 2020-09-24 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-09 | 2020-09-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-09 | 2020-09-10 | N |