GRACEWAY AT COUNTRYSIDE

📍 120 BASELINE RD, south-haven, MI 49090 📞 2696378411 🛏️ 93 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

75
Total Violations
4 years of data
$0
Total Fines
2 penalties
0
Inspections
No data available
21
Quality Metrics
Tracked measures

Health Violations by Year

2020 28 violations

Tag 0607 D Dec 23, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 1, 2021
Tag 0656 E Dec 23, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 5, 2021
Tag 0676 E Dec 23, 2020

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Feb 5, 2021
Tag 0725 F Dec 23, 2020

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Feb 5, 2021
Tag 0727 F Dec 23, 2020

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.

✓ Corrected: Jun 1, 2021
Tag 0729 D Dec 23, 2020

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

✓ Corrected: Jun 1, 2021
Tag 0730 D Dec 23, 2020

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Feb 5, 2021
Tag 0825 F Dec 23, 2020

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Feb 5, 2021
Tag 0837 F Dec 23, 2020

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Jun 1, 2021
Tag 0880 L Dec 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 19, 2021
Tag 0881 D Dec 23, 2020

Implement a program that monitors antibiotic use.

✓ Corrected: Jun 1, 2021
Tag 0882 F Dec 23, 2020

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Feb 5, 2021
Tag 0886 F Dec 23, 2020

Perform COVID19 testing on residents and staff.

✓ Corrected: Feb 5, 2021
Tag 0607 D Aug 11, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 28, 2020
Tag 0727 F Aug 11, 2020

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.

✓ Corrected: Aug 28, 2020
Tag 0568 F Mar 13, 2020

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

✓ Corrected: Mar 23, 2020
Tag 0580 E Mar 13, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 23, 2020
Tag 0600 D Mar 13, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 23, 2020
Tag 0609 D Mar 13, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 23, 2020
Tag 0610 D Mar 13, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Mar 23, 2020

2019 17 violations

Tag 0558 D Dec 11, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 23, 2020
Tag 0656 D Dec 11, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 23, 2020
Tag 0661 D Dec 11, 2019

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Mar 23, 2020
Tag 0686 D Dec 11, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 23, 2020
Tag 0689 D Dec 11, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 23, 2020
Tag 0692 D Dec 11, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 23, 2020
Tag 0761 D Dec 11, 2019

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.

✓ Corrected: Mar 23, 2020
Tag 0801 F Dec 11, 2019

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Mar 23, 2020
Tag 0812 F Dec 11, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 23, 2020
Tag 0880 F Dec 11, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 23, 2020
Tag 0607 D Sep 23, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Nov 2, 2019
Tag 0657 D Sep 23, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 2, 2019
Tag 0658 D Sep 23, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 2, 2019
Tag 0689 J Sep 23, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 2, 2019
Tag 0761 E Jul 10, 2019

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.

✓ Corrected: Jul 30, 2019
Tag 0689 G Mar 27, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 30, 2019
Tag 0725 G Mar 27, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 30, 2019

2018 13 violations

Tag 0550 D Oct 11, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Nov 15, 2018
Tag 0583 D Oct 11, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Nov 15, 2018
Tag 0585 D Oct 11, 2018

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.

✓ Corrected: Nov 15, 2018
Tag 0656 D Oct 11, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 15, 2018
Tag 0657 D Oct 11, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 15, 2018
Tag 0658 D Oct 11, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 15, 2018
Tag 0686 D Oct 11, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 15, 2018
Tag 0689 D Oct 11, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 15, 2018
Tag 0761 D Oct 11, 2018

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.

✓ Corrected: Nov 15, 2018
Tag 0791 D Oct 11, 2018

Provide or obtain dental services for each resident.

✓ Corrected: Nov 15, 2018
Tag 0812 F Oct 11, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 15, 2018
Tag 0842 E Oct 11, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Nov 15, 2018
Tag 0880 E Oct 11, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 15, 2018

2017 17 violations

Tag 0600 D Dec 19, 2017

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 25, 2018
Tag 0607 D Dec 19, 2017

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jan 25, 2018
Tag 0842 D Dec 19, 2017

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jan 25, 2018
Tag 0157 D Sep 13, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 16, 2017
Tag 0225 D Sep 13, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Oct 16, 2017
Tag 0281 D Sep 13, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 16, 2017
Tag 0313 D Sep 13, 2017

Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing.

✓ Corrected: Oct 16, 2017
Tag 0323 D Sep 13, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Oct 16, 2017
Tag 0371 F Sep 13, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Oct 16, 2017
Tag 0428 D Sep 13, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: Oct 16, 2017
Tag 0431 E Sep 13, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Oct 16, 2017
Tag 0441 F Sep 13, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 16, 2017
Tag 0465 F Sep 13, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Oct 16, 2017
Tag 0514 D Sep 13, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Oct 16, 2017
Tag 0157 D May 17, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 18, 2017
Tag 0314 D May 17, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Jun 15, 2017
Tag 0441 D May 17, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jun 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2019 2 penalties totaling $0

$0
Payment Denial
December 11, 2019
$0
Payment Denial
September 23, 2019
Average: $0 | Range: $0 - $0

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

No survey data available for this facility.

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
235573
235573
2696378411
Van Buren