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Deficiency Records for Tiffany Heights
A list of the most recent deficiencies for Tiffany Heights. 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 Tiffany Heights. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-29 | 2024-10-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-29 | 2024-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-29 | 2024-10-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-29 | 2024-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-29 | 2024-10-11 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-29 | 2024-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-29 | 2024-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-04-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-17 | 2023-04-18 | 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 | 2023-02-17 | 2023-04-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-10-11 | 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 | 2019-08-22 | 2019-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-10-11 | 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 | 2019-08-22 | 2019-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-22 | 2019-10-11 | 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 | 2019-08-22 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-10-11 | N |
| Use approved construction type or materials. | Fire Safety | 2024-08-29 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-29 | Not Fixed | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-02-17 | Not Fixed | N |
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