A list of the most recent deficiencies for Thomson Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-15 | 2023-07-30 | Y |
| 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 | 2023-06-15 | 2023-07-30 | 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 | 2023-07-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-15 | 2023-07-30 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-06-15 | 2023-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-13 | 2023-07-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-13 | 2023-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-13 | 2023-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-13 | 2023-07-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-31 | 2023-02-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-31 | 2023-02-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-31 | 2023-02-26 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-28 | 2021-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-28 | 2021-12-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-30 | 2018-12-16 | 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 | 2018-10-30 | 2018-12-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-30 | 2018-12-16 | N |
