Deficiency Records for Timbercreek Rehab and Healthcare Center
Updated as of September 01, 2016
This is not the most recent data for Timbercreek Rehab and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Timbercreek Rehab and Healthcare 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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2016-05-26 | 2016-06-10 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-26 | 2016-06-10 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-26 | 2016-06-10 | Y |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-05-26 | 2016-06-10 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-05-05 | 2016-05-11 | Y |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-05-05 | 2016-05-11 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-05 | 2016-05-10 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-26 | 2016-04-30 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-26 | 2016-04-30 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-13 | 2016-04-20 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-13 | 2016-04-20 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-13 | 2016-04-20 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-05 | 2016-04-20 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-19 | 2016-04-20 | Y |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-18 | 2016-03-31 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-18 | 2016-03-31 | Y |
Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-03-18 | 2016-03-31 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-19 | 2016-03-10 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-19 | 2016-03-10 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-19 | 2016-03-10 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-19 | 2016-03-10 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2016-02-19 | 2016-03-10 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-19 | 2016-03-10 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-11-05 | 2015-11-17 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-05 | 2015-11-17 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-11-05 | 2015-11-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-07-31 | 2015-09-24 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-07-31 | 2015-09-24 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-31 | 2015-09-24 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-31 | 2015-09-24 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-25 | 2015-09-24 | Y |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-07-31 | 2015-09-10 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-07-31 | 2015-09-10 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-07-31 | 2015-09-10 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-07-31 | 2015-09-10 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-31 | 2015-09-10 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-31 | 2015-09-10 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-31 | 2015-09-10 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-07-31 | 2015-09-10 | N |
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Exits that are accessible at all times. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Portable fire extinguishers. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Properly protected cooking facilities. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-28 | 2015-08-31 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-09 | 2015-07-24 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-09 | 2015-07-24 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-23 | 2015-04-08 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-05 | 2015-04-01 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-02-23 | 2015-04-01 | Y |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-02-23 | 2015-04-01 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-02-23 | 2015-04-01 | Y |
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2015-02-23 | 2015-04-01 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-02-23 | 2015-04-01 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-02-23 | 2015-04-01 | Y |
Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2015-02-23 | 2015-04-01 | Y |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-06 | 2015-01-14 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
A written emergency evacuation plan. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Properly protected cooking facilities. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-09-18 | 2014-12-01 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-09-10 | 2014-09-19 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-09-10 | 2014-09-19 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-10 | 2014-09-19 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-09-10 | 2014-09-19 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-08-06 | 2014-08-08 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-08-06 | 2014-08-08 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-08-06 | 2014-08-08 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-07-22 | 2014-07-25 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-07-22 | 2014-07-25 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2014-07-22 | 2014-07-25 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-06-19 | 2014-07-22 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-19 | 2014-07-22 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-19 | 2014-07-22 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-06-19 | 2014-07-22 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2014-06-19 | 2014-07-22 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2014-03-19 | 2014-03-26 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-12-02 | 2013-12-18 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-12-02 | 2013-12-18 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-07-24 | 2013-09-19 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-07-24 | 2013-09-19 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-07-24 | 2013-09-19 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2013-08-01 | 2013-09-15 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-08-01 | 2013-09-15 | N |
Exits that are accessible at all times. | Fire Safety | 2013-08-01 | 2013-09-15 | N |
A fire alarm system that can be heard throughout the facility. | Fire Safety | 2013-08-01 | 2013-09-15 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2013-08-01 | 2013-09-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-07-24 | 2013-08-20 | N |
Keep all essential equipment working safely. | Health | 2013-07-24 | 2013-08-20 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-07-24 | 2013-08-16 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-07-24 | 2013-08-16 | N |