Deficiency Records for Tri-State Village Nrsg and Rhb
Updated as of May 01, 2019
This is not the most recent data for Tri-State Village Nrsg and Rhb. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-03-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-14 | 2018-09-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-04 | 2018-05-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-04 | 2018-05-22 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-05-04 | 2018-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-04 | 2018-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-04 | 2018-05-22 | 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 | 2018-05-04 | 2018-05-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-03 | 2018-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-03 | 2018-05-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-05-03 | 2018-05-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-03 | 2018-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-03 | 2018-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-01 | 2018-02-08 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-14 | 2017-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-14 | 2017-06-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-14 | 2017-06-28 | 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 | 2017-06-14 | 2017-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-14 | 2017-06-28 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-14 | 2017-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-14 | 2017-06-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-14 | 2017-06-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-14 | 2017-06-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-14 | 2017-06-28 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-14 | 2017-06-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-14 | 2017-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-13 | 2017-01-24 | Y |
| A written emergency evacuation plan. | Fire Safety | 2016-04-28 | 2016-05-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-28 | 2016-05-13 | N |
| The appropriate emergency electrical system. | Fire Safety | 2016-04-28 | 2016-05-13 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-04-28 | 2016-05-04 | 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 | 2016-04-22 | 2016-05-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-22 | 2016-05-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-04-28 | 2016-04-29 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-04-28 | 2016-04-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-28 | 2016-04-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-04-22 | 2016-04-26 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-22 | 2016-04-23 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-04-22 | 2016-04-23 | N |
