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Deficiency Records for Timely Mission Nursing Home

A list of the most recent deficiencies for Timely Mission Nursing Home. 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 Timely Mission Nursing Home. 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?
Establish roles under a Waiver declared by secretary. Fire Safety 2024-08-06 2024-09-06 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 2024-08-06 2024-09-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-06 2024-09-06 N
Assess the resident when there is a significant change in condition Health 2024-08-01 2024-08-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-01 2024-08-18 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-22 2023-09-22 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-08-22 2023-09-22 N
Conduct testing and exercise requirements. Fire Safety 2023-08-22 2023-09-22 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 2023-08-22 2023-09-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-22 2023-09-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-08-17 2023-09-17 N
Ensure each resident receives an accurate assessment. Health 2023-08-17 2023-09-17 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 2023-08-17 2023-09-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-17 2023-09-17 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-08-22 2023-09-01 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-08-22 2023-08-31 N
Have proper medical gas storage and administration areas. Fire Safety 2023-08-22 2023-08-31 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-04-21 2022-05-26 N
Conduct testing and exercise requirements. Fire Safety 2022-04-21 2022-05-21 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-04-21 2022-05-21 N
Provide a written emergency evacuation plan. Fire Safety 2022-04-21 2022-05-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-21 2022-05-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-04-21 2022-05-21 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-04-21 2022-05-21 N
Ensure each resident receives an accurate assessment. Health 2022-04-14 2022-05-07 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-04-14 2022-05-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-14 2022-05-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-21 2022-04-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-21 2022-04-26 N

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