A list of the most recent deficiencies for Gracy Woods Ii Living 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? |
---|---|---|---|---|
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-11 | 2023-06-11 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-11 | 2023-06-11 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-11 | 2023-06-11 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-05 | 2023-06-05 | 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 | 2022-10-27 | 2022-11-27 | 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 | 2022-10-27 | 2022-11-27 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-10-27 | 2022-11-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-11-27 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-27 | 2022-11-27 | 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 | 2022-10-27 | 2022-11-27 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-10-27 | 2022-11-27 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-27 | 2022-11-27 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2021-08-19 | 2021-09-19 | 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 | 2021-08-19 | 2021-09-19 | 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 | 2021-08-19 | 2021-09-19 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-19 | 2021-09-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-19 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-19 | 2021-09-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-11 | 2019-10-11 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2019-09-10 | 2019-10-11 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-09-10 | 2019-10-11 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-09-10 | 2019-10-11 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-09-10 | 2019-10-11 | 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 | 2019-09-10 | 2019-10-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-10-11 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-10 | 2019-10-11 | N |
Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-09-10 | 2019-10-11 | N |