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Deficiency Records for Terrell Healthcare Center
A list of the most recent deficiencies for Terrell Healthcare Center. 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 Terrell Healthcare Center. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-20 | 2024-04-23 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-03-20 | 2024-04-23 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-20 | 2024-03-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-05 | 2024-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-05 | 2024-03-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-15 | 2024-02-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-15 | 2024-02-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-15 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-15 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-02-16 | 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 | 2024-02-15 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-15 | 2024-02-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-15 | 2024-02-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-02-15 | 2024-02-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-15 | 2024-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-15 | 2024-02-16 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-15 | 2024-02-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-15 | 2024-02-16 | 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 | 2024-02-15 | 2024-02-16 | Y |
| 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 | 2024-02-15 | 2024-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-15 | 2024-02-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-15 | 2024-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-15 | 2024-02-16 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-02-15 | 2024-02-16 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-02-15 | 2024-02-16 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-15 | 2024-02-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-15 | 2024-02-16 | 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 | 2024-02-15 | 2024-02-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-02-16 | Y |
| 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 | 2024-02-15 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-02-16 | Y |
| Have policies on smoking. | Health | 2024-02-15 | 2024-02-16 | 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 | 2023-12-04 | 2023-12-21 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-04 | 2023-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-04 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2023-12-21 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-12-04 | 2023-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2023-12-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-15 | 2023-01-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-15 | 2023-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-15 | 2023-01-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-15 | 2023-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-10-12 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-15 | 2021-11-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-14 | 2021-10-15 | 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 | 2021-10-14 | 2021-10-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-14 | 2021-10-15 | N |
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