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Deficiency Records for Transitions Healthcare Allens Cove
A list of the most recent deficiencies for Transitions Healthcare Allens Cove. 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 Transitions Healthcare Allens Cove. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2024-05-20 | 2024-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-20 | 2024-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-20 | 2024-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-20 | 2024-06-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-20 | 2024-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-09 | 2024-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-09 | 2024-06-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-09 | 2024-06-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-09 | 2024-06-21 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-09 | 2024-06-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-09 | 2024-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-09 | 2024-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-09 | 2024-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-09 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-09 | 2024-06-21 | Y |
| 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 | 2024-05-09 | 2024-06-21 | 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 | 2023-11-13 | 2023-12-08 | Y |
| 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 | 2023-08-11 | 2023-09-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-11 | 2023-09-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-01 | 2023-07-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-01 | 2023-07-11 | 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 | 2023-06-01 | 2023-07-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-01 | 2023-07-11 | N |
| 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 | 2023-06-01 | 2023-07-11 | 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 | 2023-06-01 | 2023-07-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-07-11 | 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 | 2023-06-01 | 2023-07-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-01 | 2023-07-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-01 | 2023-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-07-11 | N |
| 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 | 2023-06-01 | 2023-07-11 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-06-01 | 2023-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-01 | 2023-07-11 | N |
| Meet other general requirements. | Fire Safety | 2023-05-08 | 2023-07-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-08 | 2023-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-08 | 2023-07-05 | 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 | 2023-05-08 | 2023-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-08 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-08 | 2023-07-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-30 | 2022-08-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-30 | 2022-08-09 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-30 | 2022-08-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-30 | 2022-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-09 | 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 | 2022-06-06 | 2022-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-06 | 2022-07-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-06-06 | 2022-07-11 | N |
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