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Deficiency Records for Twin Rivers Nursing and Rehabilitation Center

A list of the most recent deficiencies for Twin Rivers Nursing and Rehabilitation 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 Twin Rivers Nursing and Rehabilitation 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 organize and participate in resident/family groups in the facility. Health 2024-07-26 2024-08-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-26 2024-08-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-07-26 2024-08-21 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-07-26 2024-08-21 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-07-26 2024-08-21 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 2024-07-26 2024-08-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-26 2024-08-21 N
Provide and implement an infection prevention and control program. Health 2024-07-26 2024-08-21 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-24 2024-08-21 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-07-24 2024-08-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-24 2024-08-21 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-07-24 2024-08-21 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2024-07-24 2024-08-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-26 2022-10-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-26 2022-10-08 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-26 2019-04-24 N
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 2019-03-26 2019-04-24 N
Ensure each resident receives an accurate assessment. Health 2019-03-26 2019-04-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-03-26 2019-04-24 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 2019-03-26 2019-04-24 N
Provide care by qualified persons according to each resident's written plan of care. Health 2019-03-26 2019-04-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-03-26 2019-04-24 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 2019-03-26 2019-04-24 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-03-26 2019-04-24 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2019-03-26 2019-04-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-05 2019-04-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-03-05 2019-04-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-27 2018-10-23 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 2018-09-27 2018-10-23 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 2018-09-27 2018-10-23 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-09-27 2018-10-23 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 2018-09-27 2018-10-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-09-27 2018-10-23 N
Provide and implement an infection prevention and control program. Health 2018-09-27 2018-10-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-09-25 2018-10-23 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 2018-09-25 2018-10-23 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 2018-09-25 2018-10-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-09-25 2018-10-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-09-25 2018-10-23 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-09-25 2018-10-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-09-25 2018-10-23 N

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