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Deficiency Records for Twin Pines Nursing and Rehabilitation

A list of the most recent deficiencies for Twin Pines Nursing and Rehabilitation. 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 Twin Pines Nursing and Rehabilitation. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-27 2024-05-13 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-04-27 2024-05-13 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-27 2024-05-13 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-04-27 2024-05-13 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-04-27 2024-05-13 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 2024-04-27 2024-05-13 Y
Post nurse staffing information every day. Health 2024-04-27 2024-05-13 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-04-27 2024-05-13 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 2024-04-27 2024-05-13 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2024-04-27 2024-05-13 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-04-27 2024-05-13 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-04-27 2024-05-13 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-27 2024-05-13 Y
Provide and implement an infection prevention and control program. Health 2024-04-27 2024-05-13 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-11 2023-11-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-10-11 2023-11-10 N
Have proper medical gas storage and administration areas. Fire Safety 2023-10-11 2023-11-10 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-10-11 2023-11-10 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 2023-10-13 2023-11-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-13 2023-11-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-29 2023-10-15 Y
Ensure each resident receives an accurate assessment. Health 2023-10-13 2023-10-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-13 2023-10-14 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 2023-10-13 2023-10-14 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-10-13 2023-10-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-10-11 2023-10-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-29 2023-09-30 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-09-29 2023-09-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-29 2023-09-30 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 2023-09-29 2023-09-30 Y
Ensure each resident receives an accurate assessment. Health 2023-09-15 2023-09-16 Y
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 2023-09-15 2023-09-16 Y
Provide and implement an infection prevention and control program. Health 2023-09-15 2023-09-16 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-23 2023-08-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-23 2023-08-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-23 2023-08-24 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-07-07 2023-07-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-29 2022-12-29 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 2022-08-26 2022-08-27 Y
Assess the resident when there is a significant change in condition Health 2022-08-26 2022-08-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-26 2022-08-27 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-26 2022-08-27 Y
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-08-25 2022-08-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-08-25 2022-08-26 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-11-05 2021-11-22 Y
Keep residents' personal and medical records private and confidential. Health 2021-06-08 2021-07-01 N
Ensure each resident receives an accurate assessment. Health 2021-06-08 2021-07-01 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 2021-06-08 2021-07-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-06-08 2021-07-01 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-06-08 2021-07-01 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2021-06-08 2021-07-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-06-08 2021-07-01 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 2021-06-08 2021-07-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-08 2021-07-01 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-06-08 2021-07-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-06-08 2021-07-01 N
Provide and implement an infection prevention and control program. Health 2021-06-08 2021-07-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-02 Not Fixed N

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