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Deficiency Records for Triboro Center For Rehabilitation and Nursing
A list of the most recent deficiencies for Triboro Center For Rehabilitation and Nursing. 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 Triboro Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2024-02-28 | 2024-04-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-28 | 2024-03-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-28 | 2024-03-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-28 | 2024-03-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-28 | 2024-03-31 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-02-28 | 2024-03-31 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-28 | 2024-03-31 | 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 | 2024-02-28 | 2024-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-12-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-20 | 2022-08-17 | Y |
| 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 | 2022-01-25 | 2022-03-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-25 | 2022-03-25 | 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 | 2022-01-25 | 2022-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-25 | 2022-03-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-12 | 2022-02-23 | Y |
| 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 | 2022-01-25 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-25 | 2022-02-18 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-25 | 2022-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-18 | 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 | 2022-01-25 | 2022-02-18 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-01-25 | 2022-02-18 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-20 | 2019-09-24 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-08-20 | 2019-09-24 | N |
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