CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Gracy Woods Nursing Center
View the most recent health deficiencies and inspection results for Gracy Woods Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gracy Woods Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-03 | 2026-03-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-03 | 2026-03-09 | 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 | 2025-12-31 | 2026-01-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-31 | 2026-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-31 | 2026-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-31 | 2026-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-31 | 2026-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-31 | 2026-01-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-31 | 2026-01-05 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-11-24 | 2025-11-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-24 | 2025-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-13 | 2025-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-31 | 2025-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-31 | 2025-08-01 | 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 | 2025-07-31 | 2025-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-31 | 2025-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-09 | 2025-07-10 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-02-28 | 2025-03-03 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-02-28 | 2025-03-03 | 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 | 2025-02-28 | 2025-03-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-28 | 2025-03-03 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-28 | 2025-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-28 | 2025-03-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-28 | 2025-03-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-28 | 2025-03-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-02-28 | 2025-03-03 | Y |
| 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 | 2025-02-28 | 2025-03-03 | Y |
| 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 | 2025-02-28 | 2025-03-03 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-02-28 | 2025-03-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-28 | 2025-03-03 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-02-28 | 2025-03-03 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-02-28 | 2025-03-03 | Y |
| Provide training in compliance and ethics. | Health | 2025-02-28 | 2025-03-03 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-02-28 | 2025-03-03 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-02-28 | 2025-03-03 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-02-28 | 2025-03-03 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-02-28 | 2025-03-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-28 | 2025-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-28 | 2025-03-03 | Y |
| Keep all essential equipment working safely. | Health | 2025-02-28 | 2025-03-03 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2025-02-28 | 2025-03-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-28 | 2025-03-03 | 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 | 2025-02-28 | 2025-03-03 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-28 | 2025-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-07-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-20 | 2024-05-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-16 | 2024-05-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-16 | 2024-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-01 | 2024-04-02 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-01 | 2024-04-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-01 | 2024-04-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-20 | 2024-03-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-26 | 2024-01-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-26 | 2024-01-27 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-26 | 2024-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-01-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-26 | 2024-01-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-06 | 2023-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-08-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-24 | 2023-08-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-18 | 2023-08-02 | Y |