GRAMERCY COURT CA DEFICIENCY REPORT

	Nursing Home Deficiency Report current as of November 25, 2009
Date	Deficiency	Scope	Level of Harm
03/24/2010	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
03/24/2010	corridor and hallway doors that block smoke.	Pattern	Minimal harm or potential for actual harm
03/24/2010	smoke barrier doors that can resist smoke for at least 20 minutes.	Pattern	Minimal harm or potential for actual harm
03/24/2010	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
03/24/2010	exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
03/24/2010	record of quarterly fire drills for each shift under varying conditions.	Isolated	Minimal harm or potential for actual harm
03/24/2010	a fire alarm system that can be heard throughout the facility.	Isolated	Minimal harm or potential for actual harm
03/24/2010	proper medical gas storage and administration areas.	Pattern	Minimal harm or potential for actual harm
03/24/2010	properly installed electrical wiring and equipment.	Pattern	Minimal harm or potential for actual harm
03/22/2010	Tell the resident completely about his or her health status.	Isolated	Minimal harm or potential for actual harm
03/22/2010	Try to resolve each resident's complaints quickly.	Isolated	Minimal harm or potential for actual harm
03/22/2010	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
03/22/2010	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
03/22/2010	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
03/22/2010	Properly mark drugs and other similar products.	Isolated	Minimal harm or potential for actual harm
03/22/2010	Give or get lab tests to meet the needs of residents.	Pattern	Potential for minimal harm
12/16/2008	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
12/16/2008	corridor and hallway doors that block smoke.	Widespread	Potential for minimal harm
12/16/2008	smoke barrier doors that can resist smoke for at least 20 minutes.	Isolated	Minimal harm or potential for actual harm
12/16/2008	exits that are free from obstructions and can be used at all times.	Isolated	Minimal harm or potential for actual harm
12/16/2008	restrictions on the use of highly flammable materials.	Isolated	Minimal harm or potential for actual harm
12/16/2008	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
12/16/2008	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
12/11/2008	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Pattern	Minimal harm or potential for actual harm
12/11/2008	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
12/11/2008	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Isolated	Minimal harm or potential for actual harm
12/11/2008	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
12/11/2008	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
12/11/2008	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
12/11/2008	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
12/11/2008	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Minimal harm or potential for actual harm
12/11/2008	Make sure that each resident's nutritional needs were met.	Pattern	Minimal harm or potential for actual harm
12/11/2008	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Isolated	Minimal harm or potential for actual harm
12/11/2008	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
12/11/2008	At least once a month, have a licensed pharmacist check the drugs that each resident takes.	Pattern	Minimal harm or potential for actual harm
12/11/2008	Properly mark drugs and other similar products.	Pattern	Minimal harm or potential for actual harm
12/11/2008	Keep accurate and appropriate medical records.	Pattern	Minimal harm or potential for actual harm
12/11/2008	Set up or keep a group of people to review and ensure quality.	Pattern	Minimal harm or potential for actual harm
12/19/2007	approved construction type or materials.	Isolated	Minimal harm or potential for actual harm
12/19/2007	corridor and hallway doors that block smoke.	Isolated	Minimal harm or potential for actual harm
12/19/2007	exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors.	Isolated	Minimal harm or potential for actual harm
12/19/2007	a fire alarm system that can be heard throughout the facility.	Isolated	Minimal harm or potential for actual harm
12/19/2007	properly maintained smoke detectors.	Widespread	Potential for minimal harm
12/19/2007	automatic sprinkler systems that have been maintained in working order.	Pattern	Minimal harm or potential for actual harm
12/19/2007	exits that are free from obstructions and can be used at all times.	Isolated	Minimal harm or potential for actual harm
12/19/2007	restrictions on the use of highly flammable materials.	Pattern	Minimal harm or potential for actual harm
12/19/2007	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
12/19/2007	no-smoking signs where oxygen is used.	Isolated	Minimal harm or potential for actual harm
12/14/2007	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.	Widespread	Potential for minimal harm
12/14/2007	Keep each resident free from physical restraints, unless needed for medical treatment.	Pattern	Minimal harm or potential for actual harm
12/14/2007	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
12/14/2007	Provide services to meet the needs and preferences of each resident.	Isolated	Minimal harm or potential for actual harm
12/14/2007	Keep safe, clean and homelike surroundings.	Isolated	Minimal harm or potential for actual harm
12/14/2007	Assess the resident when the resident enters the nursing home, in a timely manner.	Isolated	Minimal harm or potential for actual harm
12/14/2007	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Pattern	Minimal harm or potential for actual harm
12/14/2007	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
12/14/2007	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Pattern	Minimal harm or potential for actual harm
12/14/2007	Make sure that the attending doctor orders special diets.	Isolated	Minimal harm or potential for actual harm
12/14/2007	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	Isolated	Minimal harm or potential for actual harm
12/14/2007	Store, cook, and give out food in a safe and clean way.	Pattern	Minimal harm or potential for actual harm
12/14/2007	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm

Have you or someone you know become a victim of nursing home abuse or neglect? If so, contact one of our experienced nursing home lawyers today. Help End Nursing Home Abuse

Where does this data come from?

The data on this website describes nursing home characteristics, quality measures, inspection results, and nursing staff information.

The data come from 2 sources:

1. Centers for Medicare & Medicaid Services (CMS) have an Online Survey, Certification, and Reporting (OSCAR) database - Includes the nursing home characteristics and health deficiencies issued during the three most recent state inspections and recent complaint investigations.

   The survey inspection results are collected by the state survey agencies, who perform onsite visits to nursing homes . The inspections occur at least once during a 15-month period, or any time in between as a result of a complaint received by the state. The inspections ensure that the nursing home residents receive quality care and services in a safe and comfortable environment in accordance with rules established by CMS. Complaints may be reported and inspected during the year (outside of the 9-15 month survey cycle). Inspections about a complaint that result in the citation of a health deficiency are reported to CMS and included in this website. Sometimes the inspection finds a problem that the nursing home identified and corrected before the inspection occurred. The fact and the nature of these prior problems (deficiencies) may be included in this website.

   The information on the nursing homes' characteristics derived from OSCAR are prepared by each nursing home at the beginning of the regular State inspection. This information is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure data accuracy. In addition, this information changes frequently as residents are discharged and admitted, or resident conditions change.

2. National database known as the Minimum Data Set (MDS) Repository

   The data for the quality measures come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to access the needs and develop a plan of care unique to each resident.

   Regulations require that a MDS assessment be performed at admission, quarterly, annually, and whenever the resident experiences a significant change in status. For residents in a Medicare Part A stay, the MDS is also used to determine the Medicare reimbursement rate. These assessments are performed on the 5th, 14th, 30th, 60th and 90th day of admission.

   All of this data is reported by the nursing homes themselves. It is reviewed by nursing home inspectors, but not formally audited to ensure that it is accurate. Every attempt is made to assure the accuracy and timeliness of this information. However, this information changes frequently as residents are discharged and admitted, or resident conditions change. We advise interpreting this information cautiously and supplementing it with information from the Ombudsman's office, the State Survey Agency, or other sources.

   Some MDS items used to calculate the quality measures consider the resident's condition during previous days prior to the assessment date. The following table provides these "observation" or "look back" time frames.

Signs of Nursing Home Abuse:

• Unexplained injuries or bruises
• Over or under medication
• Visible cuts, bruises, or welts
• Rapid weight loss or weight gain
• Dehydration, malnutrition, and bedsores
• Unsanitary living conditions
• Infections
• Broken bones
• Sudden death