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Deficiency Records for Tierra Este Nursing and Rehabilitation Center
A list of the most recent deficiencies for Tierra Este Nursing and Rehabilitation 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 Tierra Este Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-02 | 2024-08-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-02 | 2024-08-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-02 | 2024-08-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-02 | 2024-08-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-02 | 2024-08-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-02 | 2024-08-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-02 | 2024-08-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-02 | 2024-08-07 | 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 | 2024-08-02 | 2024-08-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-02 | 2024-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-02 | 2024-08-07 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-02 | 2024-08-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-02 | 2024-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-02 | 2024-08-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-02 | 2024-08-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-31 | 2024-08-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-31 | 2024-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-31 | 2024-08-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-28 | 2024-06-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-28 | 2024-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-28 | 2024-06-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-28 | 2024-06-29 | 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 | 2024-06-28 | 2024-06-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-06-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-28 | 2024-06-29 | Y |
| 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 | 2024-02-12 | 2024-02-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-12 | 2024-02-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-12 | 2024-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-11-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-10-27 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-05-19 | 2023-05-20 | 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 | 2023-05-19 | 2023-05-20 | N |
| Post nurse staffing information every day. | Health | 2023-05-19 | 2023-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-05-20 | N |
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