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Deficiency Records for Trevecca Center For Rehabilitation and Healing LLC

A list of the most recent deficiencies for Trevecca Center For Rehabilitation and Healing LLC. 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 Trevecca Center For Rehabilitation and Healing LLC. 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?
List the names and contact information of those in the facility. Fire Safety 2023-06-12 2023-08-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-06-12 2023-08-01 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 2023-06-12 2023-08-01 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 2023-06-21 2023-07-27 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 2023-06-21 2023-07-27 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 2023-06-21 2023-07-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-21 2023-07-27 N
Assist a resident in gaining access to vision and hearing services. Health 2023-06-21 2023-07-27 N
Provide enough food/fluids to maintain a resident's health. Health 2023-06-21 2023-07-27 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-06-21 2023-07-27 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-06-21 2023-07-27 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-06-21 2023-07-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-21 2023-07-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-21 2023-07-27 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 2022-07-27 2022-09-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-27 2022-09-07 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-07-27 2022-09-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-07-27 2022-09-07 Y
Respond appropriately to all alleged violations. Health 2022-07-27 2022-09-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-27 2022-09-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-07-27 2022-09-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-27 2022-09-07 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-11-18 2021-12-18 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-18 2021-12-18 Y
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-04-08 2019-05-13 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2019-04-08 2019-04-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-10 2019-04-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-10 2019-04-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-04-08 2019-04-25 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2019-04-08 2019-04-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-08 2019-04-22 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 2019-04-08 2019-04-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-08 2019-04-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-04-08 2019-04-09 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2018-03-14 2018-04-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-03-14 2018-04-10 N
Provide properly protected cooking facilities. Fire Safety 2018-03-12 2018-04-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-03-12 2018-03-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-03-12 2018-03-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-03-12 2018-03-23 N
Install an approved automatic sprinkler system. Fire Safety 2018-03-12 2018-03-22 N

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