Deficiency Records for Tulare Healthcare and Wellness Center, LP
Updated as of April 01, 2024
A list of the most recent deficiencies for Tulare Healthcare and Wellness Center, LP. 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 and implement an infection prevention and control program. | Health | 2024-02-05 | 2024-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-02-26 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-01-25 | 2024-02-19 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-11-20 | 2023-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-26 | 2023-06-14 | 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 | 2023-05-17 | 2023-06-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-15 | 2023-05-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-19 | 2023-05-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-22 | 2023-04-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-22 | 2023-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-30 | 2023-02-28 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-10 | 2022-12-04 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-10 | 2022-12-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-10 | 2022-12-04 | 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 | 2022-11-10 | 2022-12-04 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-10 | 2022-12-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-10 | 2022-12-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-10 | 2022-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2022-12-04 | 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 | 2022-11-10 | 2022-12-04 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-10 | 2022-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-12-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-10 | 2022-12-04 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-10 | 2022-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-10 | 2022-12-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-10 | 2022-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-15 | 2022-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-15 | 2022-11-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-15 | 2022-11-28 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-11-15 | 2022-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-04 | 2022-10-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-30 | 2022-09-30 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-03 | 2019-07-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-03 | 2019-07-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-31 | 2019-07-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-31 | 2019-07-01 | N |
| Develop a communication plan. | Fire Safety | 2018-05-21 | 2018-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-21 | 2018-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-21 | 2018-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-21 | 2018-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-26 | 2018-05-25 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-04-26 | 2018-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-26 | 2018-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-26 | 2018-05-25 | 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 | 2018-04-26 | 2018-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-05-25 | N |
