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Deficiency Records for Tower Road Post Acute, LLC
A list of the most recent deficiencies for Tower Road Post Acute, LLC. 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 Tower Road Post Acute, LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-19 | 2024-11-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-19 | 2024-11-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-19 | 2024-11-03 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-09-19 | 2024-11-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-19 | 2024-11-03 | 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 | 2024-09-19 | 2024-11-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-19 | 2024-11-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-19 | 2024-11-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-19 | 2024-11-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-19 | 2024-11-03 | 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 | 2024-09-19 | 2024-11-03 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-09-19 | 2024-11-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-19 | 2024-11-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-19 | 2024-11-03 | 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 | 2024-09-19 | 2024-11-03 | N |
| 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 | 2024-09-19 | 2024-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-11-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-19 | 2024-11-03 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-16 | 2024-10-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-09-16 | 2024-10-12 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-09-16 | 2024-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-16 | 2024-10-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-16 | 2024-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-16 | 2024-10-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-18 | 2022-12-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-22 | 2022-10-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-22 | 2022-10-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-22 | 2022-10-21 | 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 | 2022-09-22 | 2022-10-21 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-09-15 | 2022-10-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-15 | 2022-10-19 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-31 | 2019-03-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-01-31 | 2019-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-31 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
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