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Deficiency Records for Tabitha Nursing Home
A list of the most recent deficiencies for Tabitha 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 Tabitha 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-12-17 | 2025-01-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-12-17 | 2025-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-17 | 2025-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-17 | 2025-01-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-17 | 2025-01-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-12-17 | 2025-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-17 | 2025-01-31 | 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 | 2024-12-16 | 2025-01-31 | 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 | 2024-12-16 | 2025-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-16 | 2025-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-09 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-09 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-10 | 2024-02-16 | 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 | 2024-01-10 | 2024-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-02 | 2023-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-02 | 2023-03-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-02 | 2023-03-19 | N |
| Keep all essential equipment working safely. | Health | 2023-02-02 | 2023-03-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-01 | 2023-03-19 | 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 | 2023-02-01 | 2023-03-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
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