CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Tri-State Village Nrsg and Rhb
View the most recent health deficiencies and inspection results for Tri-State Village Nrsg and Rhb. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tri-State Village Nrsg and Rhb. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-13 | 2026-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-13 | 2026-03-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-17 | 2025-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-27 | 2025-09-05 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-08-27 | 2025-09-05 | Y |
| 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 | 2025-04-30 | 2025-05-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-30 | 2025-05-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-30 | 2025-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-30 | 2025-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-30 | 2025-05-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-30 | 2025-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-30 | 2025-05-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-30 | 2025-05-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-04-30 | 2025-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-30 | 2025-05-23 | 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 | 2025-04-30 | 2025-05-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-04-30 | 2025-05-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-30 | 2025-05-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-04-30 | 2025-05-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-30 | 2025-05-23 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-30 | 2025-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-23 | 2025-04-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-13 | 2025-03-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-07 | 2024-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-07 | 2024-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-11 | 2024-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-07-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-28 | 2024-07-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-28 | 2024-07-25 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-26 | 2024-05-24 | 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 | 2024-04-26 | 2024-05-24 | 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 | 2024-04-26 | 2024-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-26 | 2024-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-26 | 2024-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-26 | 2024-05-20 | 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 | 2024-04-26 | 2024-05-20 | 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 | 2024-04-26 | 2024-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-26 | 2024-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 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 |
| 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 |
| 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 |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2023-12-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-06 | 2023-12-30 | 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 |
| 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 |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-19 | 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 | 2023-01-19 | 2023-02-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Develop a communication plan. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-01-19 | 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 | 2023-01-19 | 2023-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-19 | 2023-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-19 | 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-01-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |