A list of the most recent deficiencies for Toulon Rehab and Health Care 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? |
|---|---|---|---|---|
| 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 | 2023-09-28 | 2023-10-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-28 | 2023-10-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-28 | 2023-10-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-10-25 | 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 | 2023-09-28 | 2023-10-25 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-28 | 2023-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-25 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-09-28 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | 2023-10-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-27 | 2023-10-10 | 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 | 2023-09-27 | 2023-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-27 | 2023-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-27 | 2023-10-10 | 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 | 2023-03-22 | 2023-04-03 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-22 | 2023-04-03 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-09-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-25 | 2022-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-25 | 2022-09-16 | 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 | 2022-08-25 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-25 | 2022-09-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-25 | 2022-09-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-25 | 2022-09-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-26 | 2022-09-12 | N |
| 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 | 2022-08-26 | 2022-09-12 | 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 | 2022-08-26 | 2022-09-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-26 | 2022-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-26 | 2022-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-15 | 2022-01-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-15 | 2022-01-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-03 | 2021-10-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-03 | 2021-10-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-03 | 2021-10-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-13 | 2021-09-04 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-08-13 | 2021-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-13 | 2021-09-04 | 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 | 2021-08-13 | 2021-09-04 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-13 | 2021-09-04 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-08-13 | 2021-09-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-08-13 | 2021-09-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-13 | 2021-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-18 | 2021-09-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-18 | 2021-09-02 | 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 | 2021-08-18 | 2021-09-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-18 | 2021-09-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-23 | 2021-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-13 | 2021-05-26 | Y |
