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Deficiency Records for Twilight Home

A list of the most recent deficiencies for Twilight Home. 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 Twilight Home. 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?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-11-12 2024-11-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-11-12 2024-11-18 N
Ensure each resident receives an accurate assessment. Health 2024-03-28 2024-03-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-28 2024-03-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-06 2023-10-07 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-06 2023-10-07 Y
Provide and implement an infection prevention and control program. Health 2023-10-06 2023-10-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-20 2023-07-07 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 2023-05-16 2023-06-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-16 2023-06-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-02-09 2023-03-03 N
Provide and implement an infection prevention and control program. Health 2023-02-09 2023-03-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-02-02 2022-03-15 N
Provide and implement an infection prevention and control program. Health 2021-11-04 2021-12-10 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 2021-11-04 2021-11-29 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2021-11-04 2021-11-29 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-11-12 Not Fixed N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-16 Not Fixed N

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