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Deficiency Records for Tranquility of Richmond Heights
A list of the most recent deficiencies for Tranquility of Richmond 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 Tranquility of Richmond 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-06-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-23 | 2024-05-06 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-04-23 | 2024-05-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-22 | 2024-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-15 | Y |
| 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 | 2023-05-18 | 2023-06-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-18 | 2023-06-23 | 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 | 2023-05-18 | 2023-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-06-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-18 | 2023-06-23 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-18 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-18 | 2023-06-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-15 | 2023-06-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-31 | 2023-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-05-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-31 | 2023-05-18 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-31 | 2023-05-18 | 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 | 2023-03-01 | 2023-03-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-02-13 | 2023-03-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-13 | 2023-03-08 | Y |
| 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 | 2023-02-13 | 2023-03-08 | 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 | 2023-02-13 | 2023-03-08 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-13 | 2023-03-08 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-02-13 | 2023-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-13 | 2023-03-08 | Y |
| Report COVID19 data to residents and families. | Health | 2023-02-13 | 2023-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-30 | 2022-04-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-23 | 2020-03-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-23 | 2020-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-23 | 2020-03-13 | 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 | 2020-01-23 | 2020-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-23 | 2020-03-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-23 | 2020-03-13 | N |
| Dispose of garbage and refuse properly. | Health | 2020-01-23 | 2020-03-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-24 | 2020-03-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2018-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-17 | 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 | 2018-11-15 | 2018-12-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-14 | 2018-12-17 | N |
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