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 |