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Deficiency Records for Tarpon Bayou Center
A list of the most recent deficiencies for Tarpon Bayou 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 Tarpon Bayou 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-11 | 2024-06-28 | 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 | 2024-04-11 | 2024-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-11 | 2024-06-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-04-11 | 2024-06-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-04-11 | 2024-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-11 | 2024-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-11 | 2024-06-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-11 | 2024-05-10 | 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 | 2024-04-11 | 2024-05-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-11 | 2024-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-11 | 2024-05-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-11 | 2024-05-10 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-11 | 2024-05-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-11 | 2024-05-10 | N |
| Keep all essential equipment working safely. | Health | 2024-04-11 | 2024-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-04-09 | 2024-05-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-09 | 2024-05-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-09 | 2024-05-10 | 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 | 2024-04-09 | 2024-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-09 | 2024-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-09 | 2024-05-10 | 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 | 2023-07-13 | 2023-08-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-13 | 2023-08-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-13 | 2023-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-04 | 2022-02-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-02 | 2022-02-23 | 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 | 2020-11-06 | 2021-01-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-11-06 | 2021-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-06 | 2020-12-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
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