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Deficiency Records for Tuscola Health Care Center

A list of the most recent deficiencies for Tuscola Health 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 Tuscola Health 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-16 2024-08-29 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-08-16 2024-08-29 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-08-16 2024-08-29 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 2024-08-16 2024-08-29 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-08-16 2024-08-29 Y
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 2024-06-09 2024-06-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-09 2024-06-21 Y
Respond appropriately to all alleged violations. Health 2024-06-09 2024-06-21 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-06-09 2024-06-21 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-05-01 2024-05-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-01 2024-05-25 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-05-01 2024-05-22 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-05-01 2024-05-22 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-05-01 2024-05-22 Y
Provide properly protected cooking facilities. Fire Safety 2024-03-12 2024-03-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-12 2024-03-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-03-12 2024-03-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-12 2024-03-25 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-03-12 2024-03-25 N
Provide or get specialized rehabilitative services as required for a resident. Health 2024-02-22 2024-03-18 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-02-22 2024-03-15 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-22 2024-03-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-22 2024-03-15 N
Respond appropriately to all alleged violations. Health 2024-02-22 2024-03-15 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-02-22 2024-03-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-22 2024-03-15 N
Provide care by qualified persons according to each resident's written plan of care. Health 2024-02-22 2024-03-15 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-02-22 2024-03-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-22 2024-03-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-22 2024-03-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-22 2024-03-15 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 2024-02-22 2024-03-15 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-22 2024-03-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-22 2024-03-15 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 2024-02-22 2024-03-15 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 2024-02-22 2024-03-15 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-02-22 2024-03-15 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-02-22 2024-03-15 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-02-22 2024-03-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-22 2024-03-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-02-22 2024-03-15 N
Provide and implement an infection prevention and control program. Health 2024-02-22 2024-03-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-02-22 2024-03-15 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-02-22 2024-03-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-25 2024-02-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-31 2023-11-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-31 2023-11-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-31 2023-11-24 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 2023-10-31 2023-11-24 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-31 2023-11-24 Y
Provide and implement an infection prevention and control program. Health 2023-10-31 2023-11-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-25 2023-08-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-06 2023-06-28 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-06-06 2023-06-28 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 2023-06-06 2023-06-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-06 2023-06-28 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-24 2023-05-24 Y
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 2023-05-24 2023-05-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-24 2023-05-24 Y
Ensure that residents are free from significant medication errors. Health 2023-05-24 2023-05-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-01 2023-05-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-01 2023-05-01 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-05-01 2023-05-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-01 2023-05-01 Y
Provide and implement an infection prevention and control program. Health 2023-05-01 2023-05-01 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-19 2023-03-21 N
Conduct testing and exercise requirements. Fire Safety 2023-01-19 2023-03-10 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 2023-02-14 2023-03-02 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-02-14 2023-03-02 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-01-11 2023-02-03 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-01-11 2023-02-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-11 2023-02-03 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 2023-01-11 2023-02-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-11 2023-02-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-11 2023-02-03 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 2023-01-11 2023-02-03 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-01-11 2023-02-03 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 2023-01-11 2023-02-03 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-01-11 2023-02-03 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 2023-01-11 2023-02-03 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-01-11 2023-02-03 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-01-11 2023-02-03 N
Provide and implement an infection prevention and control program. Health 2023-01-11 2023-02-03 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-01-19 2023-02-03 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2023-01-19 2023-02-03 N
Provide family notifications of emergency plan. Fire Safety 2023-01-19 2023-02-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-19 2023-02-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-19 2023-02-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-10 2022-08-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-10 2022-08-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-27 2022-02-18 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-27 2022-02-18 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-18 2022-01-26 N
Conduct testing and exercise requirements. Fire Safety 2021-11-18 2022-01-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-11-18 2021-12-15 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-11-18 2021-12-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-11-18 2021-12-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-11-18 2021-12-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-18 2021-12-08 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 2021-11-18 2021-12-08 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 2021-11-18 2021-12-08 N
Establish staff and initial training requirements. Fire Safety 2021-11-18 2021-11-30 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 2021-11-18 2021-11-24 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 2021-11-18 2021-11-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-11-18 2021-11-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-11-18 2021-11-24 N

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