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Deficiency Records for Twin Oaks Nursing Home
A list of the most recent deficiencies for Twin Oaks 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 Twin Oaks 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-07 | 2024-09-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-07 | 2024-09-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-07 | 2024-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-07 | 2024-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-07 | 2024-09-03 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-07 | 2024-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-09-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-08-07 | 2024-09-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-08-07 | 2024-09-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-08-07 | 2024-09-03 | 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 | 2024-08-05 | 2024-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-05 | 2024-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-05 | 2024-09-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-27 | 2024-08-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-27 | 2024-08-07 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-06-27 | 2024-08-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-02 | 2024-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-02 | 2024-06-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-06-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-04 | 2024-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-04 | 2024-02-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-04 | 2024-02-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-02 | 2024-01-31 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-02 | 2024-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-02 | 2024-01-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-02 | 2024-01-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2024-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-02 | 2024-01-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2024-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-12-20 | 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 | 2023-11-02 | 2023-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-24 | 2023-10-08 | Y |
| 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 | 2023-08-24 | 2023-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-18 | 2023-07-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-07-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-01 | 2023-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-15 | 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 | 2022-12-15 | 2023-01-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-15 | 2023-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-15 | 2023-01-15 | N |
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