THE GRAND REHABILITATION AND NRSG AT GUILDERLAND
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$40,937
Outcome
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND in ALTAMONT, NY was fined $40,937 by CMS following 56 deficiency citations identified during federal surveys.
Details
THE GRAND REHABILITATION AND NRSG AT GUILDERLAND (ALTAMONT, NY) — $40,937 in CMS Fines
Outcome: THE GRAND REHABILITATION AND NRSG AT GUILDERLAND in ALTAMONT, NY was fined $40,937 by CMS following 56 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Provide timely, quality laboratory services/tests to meet the needs of residents.
- Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Allow residents to self-administer drugs if determined clinically appropriate.
- 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.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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