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Deficiency Records for Tremont Health Care Center
A list of the most recent deficiencies for Tremont Health Care 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 Tremont Health Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-05 | 2024-09-10 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-08-05 | 2024-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-05 | 2024-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-05 | 2024-09-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-08-05 | 2024-09-10 | 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 | 2024-08-05 | 2024-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-05 | 2024-09-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-08-05 | 2024-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-05 | 2024-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-05 | 2024-04-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-05 | 2024-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-04-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-05 | 2024-04-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-05 | 2024-04-16 | 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 | 2024-03-05 | 2024-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2024-01-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-07 | 2023-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-26 | 2023-12-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-10-26 | 2023-11-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-26 | 2023-11-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-26 | 2023-11-29 | 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 | 2023-10-26 | 2023-11-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-11-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-11-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-26 | 2023-11-29 | 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 | 2023-10-26 | 2023-11-29 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-26 | 2023-11-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-26 | 2023-11-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-26 | 2023-11-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-26 | 2023-11-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-26 | 2023-11-29 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-26 | 2023-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-29 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-10-26 | 2023-11-29 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2023-10-26 | 2023-11-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-26 | 2023-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-29 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-10-26 | 2023-11-29 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2023-10-26 | 2023-11-29 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-10-26 | 2023-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-02-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-19 | 2023-02-15 | N |
| Report COVID19 data to residents and families. | Health | 2023-01-19 | 2023-02-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-19 | 2023-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-30 | 2023-01-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-30 | 2023-01-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-21 | 2022-11-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-21 | 2022-11-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-21 | 2022-11-11 | Y |
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