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Deficiency Records for Thornton Care Center

A list of the most recent deficiencies for Thornton Care Center. 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 Thornton Care Center. 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 services provided by the nursing facility meet professional standards of quality. Health 2024-08-07 2024-08-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-20 2024-06-21 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-20 2024-06-21 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-06-20 2024-06-21 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-11-21 2024-01-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-21 2024-01-13 N
Provide properly protected cooking facilities. Fire Safety 2023-11-21 2024-01-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-21 2024-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-21 2024-01-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-21 2024-01-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-21 2024-01-13 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-21 2024-01-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-21 2024-01-13 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-11-21 2024-01-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-21 2024-01-13 N
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. Health 2023-10-26 2023-10-27 N
Keep residents' personal and medical records private and confidential. Health 2023-10-26 2023-10-27 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-26 2023-10-27 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-10-26 2023-10-27 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 2023-10-26 2023-10-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-26 2023-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-26 2023-10-27 Y
Help the resident with transportation to and from laboratory services outside of the facility. Health 2023-10-26 2023-10-27 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-10-26 2023-10-27 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-26 2023-10-27 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-26 2023-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-21 2022-11-21 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-08-16 2022-10-13 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-08-16 2022-10-13 N
Have exits that are accessible at all times. Fire Safety 2022-08-16 2022-10-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-08-16 2022-10-13 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-08-16 2022-10-13 N
Provide properly protected cooking facilities. Fire Safety 2022-08-16 2022-10-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-16 2022-10-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-16 2022-10-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-08-16 2022-10-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-08-16 2022-10-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-08-16 2022-10-13 N
Provide a written emergency evacuation plan. Fire Safety 2022-08-16 2022-10-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-16 2022-10-13 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-08-16 2022-10-13 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-08-16 2022-10-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-16 2022-10-13 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-08-16 2022-09-19 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2022-07-21 2022-08-23 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-07-21 2022-08-23 N
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. Health 2022-07-21 2022-08-23 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-07-21 2022-08-23 N
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. Health 2022-07-21 2022-08-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-21 2022-08-23 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-21 2022-08-23 N
Assist a resident in gaining access to vision and hearing services. Health 2022-07-21 2022-08-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-21 2022-08-23 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-07-21 2022-08-23 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-07-21 2022-08-23 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-07-21 2022-08-23 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-07-21 2022-08-23 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 2022-07-21 2022-08-23 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-07-21 2022-08-23 N
Provide and implement an infection prevention and control program. Health 2022-07-21 2022-08-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-21 2022-08-23 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-07-21 2022-08-23 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-21 2022-08-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-21 2022-08-23 Y
Provide or obtain dental services for each resident. Health 2022-07-21 2022-08-23 Y
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2022-07-21 2022-08-23 Y
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-07-21 2022-08-23 Y
Address patient/client population and determine types of services needed. Fire Safety 2022-07-21 2022-08-23 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-07-21 2022-08-23 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2022-07-21 2022-08-23 N
Establish policies and procedures for medical documentation. Fire Safety 2022-07-21 2022-08-23 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-07-21 2022-08-23 N
List the names and contact information of those in the facility. Fire Safety 2022-07-21 2022-08-23 N
Provide primary/alternate means for communication. Fire Safety 2022-07-21 2022-08-23 N
Provide family notifications of emergency plan. Fire Safety 2022-07-21 2022-08-23 N
Establish emergency prep training and testing. Fire Safety 2022-07-21 2022-08-23 N
Establish staff and initial training requirements. Fire Safety 2022-07-21 2022-08-23 N
Conduct testing and exercise requirements. Fire Safety 2022-07-21 2022-08-23 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2019-10-29 2019-12-19 N
Provide properly protected cooking facilities. Fire Safety 2019-10-29 2019-12-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-10-29 2019-12-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-29 2019-12-19 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-10-29 2019-12-06 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-10-29 2019-12-04 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-10-11 2019-12-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-10-29 2019-11-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-10-29 2019-11-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-10-11 2019-11-18 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2019-10-11 2019-11-14 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-10-11 2019-11-14 N
Give residents a notice of rights, rules, services and charges. Health 2019-10-11 2019-11-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-11 2019-11-14 N
Provide activities to meet all resident's needs. Health 2019-10-11 2019-11-14 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-10-11 2019-11-14 N
Observe each nurse aide's job performance and give regular training. Health 2019-10-11 2019-11-14 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 2019-10-11 2019-11-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-11 2019-11-14 N
Provide and implement an infection prevention and control program. Health 2019-10-11 2019-11-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-29 2019-11-06 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-10-29 2019-11-04 N

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