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Deficiency Records for Twin Lakes Therapy and Living
A list of the most recent deficiencies for Twin Lakes Therapy and Living. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Twin Lakes Therapy and Living. 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 each resident receives an accurate assessment. | Health | 2024-03-15 | 2024-04-08 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-15 | 2024-04-08 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-15 | 2024-04-08 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-15 | 2024-04-08 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-15 | 2024-04-08 | 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 | 2024-03-15 | 2024-04-08 | N |
Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-04-08 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-15 | 2024-04-08 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-15 | 2024-04-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-15 | 2024-04-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-15 | 2024-04-08 | Y |
Provide appropriate foot care. | Health | 2024-03-15 | 2024-04-08 | Y |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-03-15 | 2024-04-08 | Y |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-03-15 | 2024-04-08 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-15 | 2024-04-08 | Y |
Have an alternate power supply for its alarm system. | Fire Safety | 2024-03-12 | 2024-04-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-12 | 2024-04-08 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-15 | 2024-03-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-03-14 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-06-21 | 2023-05-05 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-27 | 2023-02-17 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-27 | 2023-02-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-17 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-27 | 2023-02-17 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-27 | 2023-02-17 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-22 | 2023-01-20 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-12-22 | 2023-01-20 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-22 | 2023-01-20 | Y |
Perform COVID19 testing on residents and staff. | Health | 2022-03-25 | 2022-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-03 | 2021-12-01 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-15 | 2021-10-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-15 | 2021-10-15 | N |
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