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EAST GRAND NURSING HOME
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749160551
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 11/16/2007 Health Survey for EAST GRAND NURSING HOME
| Administration | ||
| Deficiency | Scope | Level of Harm |
| 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. | Pattern | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Widespread | Minimal harm or potential for actual harm |
| Keep all essential equipment working safely. | Isolated | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Provide bedrooms that hold no more than 4 residents per room. | Pattern | Potential for minimal harm |
| Provide rooms that are big enough for each resident. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Make sure that each resident's nutritional needs were met. | Isolated | Actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Provide activities to meet the needs of each resident. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. | Pattern | Minimal harm or potential for actual harm |
| Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. | Isolated | Minimal harm or potential for actual harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
| Do a new assessment after any major change in a resident's physical or mental health. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Keep each resident's personal and medical records private and confidential. | Isolated | Minimal harm or potential for actual harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
- 11/16/2007 Fire Safety Survey for EAST GRAND NURSING HOME
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| back-up procedures in place for a faulty automatic sprinkler system. | Isolated | Minimal harm or potential for actual harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| a two-hour-resistant firewall in common walls. | Isolated | Minimal harm or potential for actual harm |
| approved construction type or materials. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Pattern | Minimal harm or potential for actual harm |
| properly protected cooking facilities. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | Isolated | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Isolated | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exit stairways and towers that are smoke proof. | Isolated | Minimal harm or potential for actual harm |
| exits that are accessible at all times. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| properly maintained smoke detectors. | Isolated | Minimal harm or potential for actual harm |
| an approved back-up procedure for a faulty fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| restrictions on the use of flammable curtains. | Pattern | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| properly located and lighted Exit signs. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Isolated | Minimal harm or potential for actual harm |
| Smoking Regulations | ||
| Deficiency | Scope | Level of Harm |
| posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. | Isolated | Minimal harm or potential for actual harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| proper stairway enclosures and vertical shafts. | Isolated | Minimal harm or potential for actual harm |
- 12/21/2006 Health Survey for EAST GRAND NURSING HOME
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Keep safe, clean and homelike surroundings. | Pattern | Minimal harm or potential for actual harm |
| Have enough outside airflow. | Pattern | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm |
| Provide bedrooms that hold no more than 4 residents per room. | Pattern | Potential for minimal harm |
| Provide rooms that are big enough for each resident. | Pattern | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Let residents give themselves their drugs if they are able. | Isolated | Minimal harm or potential for actual harm |
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