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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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