A list of the most recent deficiencies for Grapevine Medical Lodge. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-13 | 2023-01-27 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-12-14 | 2023-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-07 | 2021-11-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-07 | 2021-11-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-07 | 2021-11-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-06 | 2021-11-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-06 | 2021-11-01 | 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 | 2021-08-25 | 2021-09-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-04 | 2021-08-11 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-03 | 2019-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Develop a communication plan. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-31 | 2019-07-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-31 | 2019-07-15 | 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 | 2019-05-31 | 2019-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-31 | 2019-07-14 | N |
