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Deficiency Records for Talihina Manor

A list of the most recent deficiencies for Talihina Manor. 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 Talihina Manor. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-03-01 2024-03-31 N
Ensure each resident receives an accurate assessment. Health 2024-03-01 2024-03-31 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-03-01 2024-03-31 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-01 2024-03-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-01 2024-03-31 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-03-01 2024-03-31 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-03-01 2024-03-31 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-03-01 2024-03-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-01 2024-03-31 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 2024-03-01 2024-03-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-03-01 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 2024-03-01 2024-03-31 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 2024-03-01 2024-03-31 N
Keep complete, dated laboratory records in the resident's record. Health 2024-03-01 2024-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-01 2024-03-31 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-09 2023-05-23 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 2023-02-17 2023-05-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-05-09 2023-05-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-17 2023-03-15 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 2023-02-17 2023-03-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-17 2023-03-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-27 2022-02-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-01-27 2022-02-21 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 2022-01-27 2022-02-21 N
Provide enough food/fluids to maintain a resident's health. Health 2022-01-27 2022-02-21 N
Ensure medication error rates are not 5 percent or greater. Health 2022-01-27 2022-02-21 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 2022-01-27 2022-02-21 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-01-27 2022-02-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-27 2022-02-21 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 2022-02-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-01-25 2022-01-26 N
Provide and implement an infection prevention and control program. Health 2021-12-07 2021-12-31 Y

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