A list of the most recent deficiencies for Tri-State Village Nrsg and Rhb. 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? |
---|---|---|---|---|
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-09 | 2024-03-08 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-09 | 2024-03-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-09 | 2024-03-08 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-02-09 | 2024-03-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-09 | 2024-03-08 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | 2024-03-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-09 | 2024-03-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-08 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-04 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-11-06 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-09-29 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-06 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-13 | 2023-08-06 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-06-30 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-12 | 2023-06-30 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Develop a communication plan. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Establish emergency prep training and testing. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-02-01 | 2023-02-18 | 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 | 2023-02-01 | 2023-02-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-01 | 2023-02-18 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-19 | 2023-02-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-02-06 | N |
Dispose of garbage and refuse properly. | Health | 2023-01-19 | 2023-02-06 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-19 | 2023-01-25 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-19 | 2023-01-25 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-19 | 2023-01-25 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-19 | 2023-01-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-01-25 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-01-25 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-10 | 2022-12-02 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-02 | Y |
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 | 2022-11-10 | 2022-12-02 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-05 | 2022-10-28 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-10-05 | 2022-10-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-10-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-10-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-10-28 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-18 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-04 | 2022-03-14 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-04 | 2022-03-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-01-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-10-26 | Y |
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 | 2021-06-01 | 2021-06-11 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-01 | 2021-06-11 | Y |
Establish staff and initial training requirements. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-04 | 2021-03-15 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-26 | 2021-03-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-26 | 2021-03-11 | 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 | 2021-02-26 | 2021-03-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-04-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-04-24 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-04-11 | 2019-04-24 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-04-24 | 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 | 2019-04-11 | 2019-04-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-04-24 | N |