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Deficiency Records for The Waters of Tipton Skilled Nursing Facility
A list of the most recent deficiencies for The Waters of Tipton Skilled Nursing Facility. 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 The Waters of Tipton Skilled Nursing Facility. 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 | 2024-04-29 | 2024-05-29 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-21 | 2024-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-04-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-21 | 2024-04-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-21 | 2024-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-21 | 2024-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-21 | 2024-04-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-08 | 2024-04-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-08 | 2024-04-01 | 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 | 2024-03-08 | 2024-04-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-08 | 2024-04-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-08 | 2024-04-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-09 | 2024-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-02-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-26 | 2023-11-27 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-10-26 | 2023-11-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-07 | 2023-03-29 | 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 | 2023-03-07 | 2023-03-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-07 | 2023-03-29 | 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 | 2023-03-07 | 2023-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-07 | 2023-03-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-27 | 2023-03-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-02-27 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-27 | 2023-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-27 | 2023-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-27 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-09 | 2023-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-26 | 2021-11-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-05 | 2020-03-20 | N |
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