A list of the most recent deficiencies for Two Palms Care 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-09 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-02-09 | 2024-03-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-03 | 2024-02-03 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-04 | 2021-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-04 | 2021-09-22 | 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 | 2021-08-06 | 2021-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-06 | 2021-09-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-01 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-08-06 | 2021-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-01 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-08-06 | 2021-09-01 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-29 | 2019-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-29 | 2019-11-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-29 | 2019-11-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-29 | 2019-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-29 | 2019-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-29 | 2019-11-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-29 | 2019-10-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-29 | 2019-10-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-29 | 2019-10-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-29 | 2019-10-24 | 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 | 2019-09-29 | 2019-10-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-09-29 | 2019-10-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-29 | 2019-10-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-16 | 2018-09-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-16 | 2018-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-16 | 2018-09-21 | 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 | 2018-09-16 | 2018-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-16 | 2018-09-21 | 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 | 2018-09-16 | 2018-09-21 | 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 | 2018-09-16 | 2018-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-16 | 2018-09-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-09-16 | 2018-09-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Develop a communication plan. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-17 | 2018-09-17 | N |
