CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Tri-State Village Nrsg and Rhb
A list of the most recent deficiencies for Tri-State Village Nrsg and Rhb. 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 Tri-State Village Nrsg and Rhb. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-11 | 2024-08-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-28 | 2024-07-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-07-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-09 | 2024-05-24 | 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 | 2024-05-09 | 2024-05-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-09 | 2024-05-24 | 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 | 2024-05-09 | 2024-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-09 | 2024-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-26 | 2024-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-05-20 | 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 | 2024-04-26 | 2024-05-20 | 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 | 2024-04-26 | 2024-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-26 | 2024-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-26 | 2024-05-20 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-09 | 2024-03-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-09 | 2024-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-09 | 2024-03-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-09 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | 2024-03-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-09 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2023-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-06 | 2023-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-11-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-13 | 2023-08-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-06-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-12 | 2023-06-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Develop a communication plan. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-01 | 2023-02-18 | 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 | 2023-02-01 | 2023-02-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-01 | 2023-02-18 | 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 | 2023-02-01 | 2023-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-19 | 2023-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-02-06 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-19 | 2023-02-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-19 | 2023-01-25 | 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 | 2023-01-19 | 2023-01-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-19 | 2023-01-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-19 | 2023-01-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-01-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-01-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-10 | 2022-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-02 | Y |
| 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 | 2022-11-10 | 2022-12-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-05 | 2022-10-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-05 | 2022-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-10-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-10-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-04 | 2022-03-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-04 | 2022-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-01-13 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-26 | 2021-03-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-26 | 2021-03-11 | 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 | 2021-02-26 | 2021-03-11 | N |
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