Deficiency Records for Tsali Care Center
Updated as of August 01, 2024
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Deficiency Records for Tsali Care Center
A list of the most recent deficiencies for Tsali 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 Tsali 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? |
---|---|---|---|---|
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-17 | 2024-05-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-04-17 | 2024-05-04 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-11-06 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-13 | 2023-11-06 | 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 | 2023-10-13 | 2023-11-06 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-13 | 2023-11-06 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-11-06 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-21 | 2023-10-22 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-09-21 | 2023-10-22 | Y |
Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-09-21 | 2023-10-22 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-21 | 2023-10-20 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-15 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-07-13 | 2023-08-15 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2023-07-13 | 2023-08-15 | N |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-07-13 | 2023-08-15 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-07-13 | 2023-08-15 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-07-13 | 2023-08-15 | 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 | 2023-07-13 | 2023-08-15 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-13 | 2023-08-15 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-13 | 2023-08-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-13 | 2023-08-15 | N |
Provide activities to meet all resident's needs. | Health | 2023-07-13 | 2023-08-15 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2023-07-13 | 2023-08-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-13 | 2023-08-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-13 | 2023-08-15 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-13 | 2023-08-15 | N |
Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-08-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-23 | 2022-10-14 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-23 | 2022-10-14 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-23 | 2022-10-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-23 | 2022-10-14 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-23 | 2022-10-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-10-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-23 | 2022-10-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-23 | 2022-10-14 | 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 | 2022-09-23 | 2022-10-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-10-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-23 | 2022-10-14 | N |
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-09-22 | 2022-10-10 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-04 | 2022-02-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-02-23 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-04 | 2022-02-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-24 | 2021-10-15 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-24 | 2021-10-15 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-24 | 2021-10-15 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-09-24 | 2021-10-15 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-09-24 | 2021-10-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-24 | 2021-10-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-24 | 2021-10-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-15 | N |
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