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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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