Deficiency Records for Timbercreek Rehab and Healthcare Center
Updated as of July 01, 2017
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-02 | 2017-05-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-21 | 2017-05-11 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-21 | 2017-05-11 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-01 | 2017-05-11 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-02-01 | 2017-05-11 | 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 | 2017-01-13 | 2017-05-11 | 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 | 2017-01-13 | 2017-05-11 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-01-13 | 2017-05-11 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-14 | 2017-05-11 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-14 | 2017-05-11 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-12-02 | 2017-05-11 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-12-02 | 2017-05-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-14 | 2017-05-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-12-02 | 2017-03-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-02 | 2017-03-22 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-12-02 | 2017-03-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-12-02 | 2016-12-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-02 | 2016-12-23 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-02 | 2016-12-23 | 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 | 2016-12-02 | 2016-12-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-02 | 2016-12-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-02 | 2016-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-04 | 2016-11-14 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-04 | 2016-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-29 | 2016-09-30 | 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 | 2016-09-01 | 2016-09-30 | 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 | 2016-08-05 | 2016-09-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-22 | 2016-09-29 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-22 | 2016-09-29 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-22 | 2016-09-29 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-08-05 | 2016-09-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-05 | 2016-09-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-05 | 2016-09-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-05 | 2016-09-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-05 | 2016-09-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-05 | 2016-09-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-05 | 2016-09-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-05 | 2016-09-29 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-08-05 | 2016-09-29 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-08-05 | 2016-09-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-05 | 2016-09-29 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-08-05 | 2016-09-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-09-07 | 2016-09-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-22 | 2016-09-09 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-08-22 | 2016-09-09 | Y |
| Completely assess the resident at least every twelve months. | Health | 2016-08-22 | 2016-09-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-22 | 2016-09-09 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-08-22 | 2016-09-09 | Y |
| Give specialized rehabilitative services that are medically necessary by qualified personnel, when ordered by a doctor. | Health | 2016-08-22 | 2016-09-09 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-22 | 2016-09-09 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-08-22 | 2016-09-01 | Y |
| 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 |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-25 | 2015-09-24 | 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 |
| 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 |
| 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 |
| 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 |
