A list of the most recent deficiencies for Tarpon Bayou 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-13 | 2023-08-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-13 | 2023-08-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-13 | 2023-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-04 | 2022-02-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-02 | 2022-02-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-02 | 2022-02-23 | 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 | 2020-11-06 | 2021-01-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-11-06 | 2021-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-06 | 2020-12-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-11-04 | 2020-12-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-25 | 2019-02-25 | 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 | 2019-01-25 | 2019-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-25 | 2019-02-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-25 | 2019-02-25 | 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 | 2019-01-25 | 2019-02-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-23 | 2019-02-25 | 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 | 2019-01-23 | 2019-02-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-23 | 2019-02-25 | N |
