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Deficiency Records for Thornton Terrace Health Campus

A list of the most recent deficiencies for Thornton Terrace Health Campus. 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 Thornton Terrace Health Campus. 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 smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-08-28 2024-09-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-08-21 2024-08-31 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 2024-08-21 2024-08-31 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-11 2024-01-31 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-01-11 2024-01-31 Y
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2023-07-17 2023-08-01 N
Meet other general requirements that are deficient. Fire Safety 2023-07-17 2023-08-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-17 2023-08-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-07-17 2023-08-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-17 2023-08-01 N
Provide a written emergency evacuation plan. Fire Safety 2023-07-17 2023-08-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-03 2023-07-21 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 2023-07-03 2023-07-21 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 2023-07-03 2023-07-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-15 2023-05-04 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-11 2022-07-19 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-21 2022-07-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-21 2022-07-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-21 2022-07-03 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 2022-06-21 2022-07-03 N

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