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Deficiency Records for Double Tree Post Acute Care Center
View the most recent health deficiencies and inspection results for Double Tree Post Acute Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Double Tree Post Acute Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-23 | 2026-02-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-23 | 2026-02-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-23 | 2026-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-23 | 2026-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-23 | 2026-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-23 | 2026-02-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-01-23 | 2026-02-16 | N |
| 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 | 2026-01-23 | 2026-02-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-23 | 2026-02-16 | 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 | 2026-01-23 | 2026-02-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2026-01-23 | 2026-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-23 | 2026-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Use approved construction type or materials. | Fire Safety | 2026-01-23 | 2026-02-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-23 | 2026-02-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-22 | 2026-01-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-09 | 2025-07-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-09 | 2025-07-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-24 | 2024-11-25 | Y |
| Keep all essential equipment working safely. | Health | 2024-10-03 | 2024-10-18 | 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 | 2024-10-03 | 2024-10-18 | 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 | 2024-10-03 | 2024-10-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-03 | 2024-10-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-03 | 2024-10-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-03 | 2024-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-03 | 2024-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Use approved construction type or materials. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Develop a communication plan. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-17 | 2024-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2023-12-28 | 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 | 2023-08-17 | 2023-09-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-17 | 2023-09-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-17 | 2023-09-12 | 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 | 2023-08-17 | 2023-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-08 | 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 | 2023-08-17 | 2023-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-17 | 2023-09-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-08-17 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-08-17 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-08 | N |
| Keep all essential equipment working safely. | Health | 2023-08-17 | 2023-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-17 | 2023-09-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-17 | 2023-09-08 | 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 | 2023-08-17 | 2023-09-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-17 | 2023-09-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-17 | 2023-09-08 | 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 | 2023-08-17 | 2023-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-17 | 2023-09-08 | 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 | 2023-08-17 | 2023-09-08 | 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 | 2023-08-17 | 2023-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-18 | 2023-08-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-05 | Y |