A list of the most recent deficiencies for Thomasville Health and Rehab. 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? |
|---|---|---|---|---|
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-08-15 | 2022-10-13 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-08-07 | 2022-09-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-07 | 2022-09-21 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-08-07 | 2022-09-21 | Y |
| 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 | 2022-08-07 | 2022-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-07 | 2022-09-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-07 | 2022-09-21 | Y |
| 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 | 2022-08-07 | 2022-09-21 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-07 | 2022-09-21 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-07 | 2022-09-21 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-15 | 2022-09-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-01 | 2019-09-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-01 | 2019-09-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-01 | 2019-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-09-15 | 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 | 2019-08-01 | 2019-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-01 | 2019-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-09-15 | 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 | 2018-05-31 | 2018-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-31 | 2018-07-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-05-29 | 2018-07-13 | N |
