Deficiency Records for Timbercreek Rehab and Healthcare Center
Updated as of December 01, 2018
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-11-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-11-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-11-13 | 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 | 2018-08-16 | 2018-11-13 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-08-16 | 2018-11-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-27 | 2018-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-10-25 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-16 | 2018-10-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-16 | 2018-10-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-16 | 2018-10-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-16 | 2018-10-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-08-16 | 2018-10-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-16 | 2018-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-16 | 2018-10-25 | 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 | 2018-08-16 | 2018-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-10-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-16 | 2018-10-25 | N |
| 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 ne | Health | 2018-08-16 | 2018-10-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-16 | 2018-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-10-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-16 | 2018-10-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-17 | 2018-08-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-17 | 2018-08-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-17 | 2018-08-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-06-20 | 2018-07-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-15 | 2018-05-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-30 | 2018-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-30 | 2018-04-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-30 | 2018-04-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-30 | 2018-04-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-03-30 | 2018-04-13 | 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 | 2018-03-30 | 2018-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-30 | 2018-04-13 | 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 |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-14 | 2017-05-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-04 | 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 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 |
| 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 |
