A list of the most recent deficiencies for Twin Lakes Therapy and Living. 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 residents are free from significant medication errors. | Health | 2023-06-21 | 2023-05-05 | 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 | 2023-01-23 | 2023-03-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-23 | 2023-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-27 | 2023-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-17 | 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 | 2023-01-27 | 2023-02-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-27 | 2023-02-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-27 | 2023-02-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-22 | 2023-01-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-12-22 | 2023-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-22 | 2023-01-20 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-25 | 2022-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-03 | 2021-12-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-15 | 2021-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-15 | 2021-10-15 | N |
| Report COVID19 data to residents and families. | Health | 2021-07-21 | 2021-08-21 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-07-21 | 2021-08-21 | 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 | 2021-05-25 | 2021-06-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-25 | 2021-06-24 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-30 | 2020-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-03-02 | N |
| Provide appropriate foot care. | Health | 2020-01-30 | 2020-03-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-01-30 | 2020-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-03-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-03-02 | N |
