Deficiency Records for Grace Hill Nursing Center
Updated as of May 01, 2021
This is not the most recent data for Grace Hill Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Grace Hill Nursing 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-28 | 2019-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-28 | 2019-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-28 | 2019-10-11 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-08-28 | 2019-10-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-28 | 2019-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-28 | 2019-10-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-12 | 2019-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-12 | 2019-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-06-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-01 | 2019-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-01 | 2019-03-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-01 | 2019-03-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-05 | 2018-10-19 | 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 | 2018-09-05 | 2018-10-19 | 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 | 2018-09-05 | 2018-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-05 | 2018-10-19 | 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 | 2018-09-06 | 2018-10-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-09-06 | 2018-10-19 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-09-06 | 2018-10-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-06 | 2018-10-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-01 | 2018-08-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-01 | 2018-08-27 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2017-11-08 | 2017-12-08 | 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 | 2017-11-08 | 2017-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-08 | 2017-12-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-11-08 | 2017-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-08 | 2017-12-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-08 | 2017-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-08 | 2017-12-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-08 | 2017-12-08 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-08 | 2017-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-08 | 2017-12-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-08 | 2017-12-08 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-11-08 | 2017-12-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-08 | 2017-12-08 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-08 | 2017-12-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-11-08 | 2017-12-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-08 | 2017-12-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-08 | 2017-12-08 | N |
