A list of the most recent deficiencies for Tuscola 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-31 | 2023-11-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-31 | 2023-11-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-31 | 2023-11-24 | 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 | 2023-10-31 | 2023-11-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-31 | 2023-11-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-11-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-06 | 2023-06-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-06 | 2023-06-28 | 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 | 2023-06-06 | 2023-06-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-06 | 2023-06-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-24 | 2023-05-24 | Y |
| 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 | 2023-05-24 | 2023-05-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-05-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-05-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-01 | 2023-05-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-01 | 2023-05-01 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-05-01 | 2023-05-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-01 | 2023-05-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-01 | 2023-05-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-19 | 2023-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-19 | 2023-03-10 | N |
| 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 | 2023-02-14 | 2023-03-02 | Y |
| 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 | 2023-02-14 | 2023-03-02 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-11 | 2023-02-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-11 | 2023-02-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-03 | 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 | 2023-01-11 | 2023-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-11 | 2023-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-03 | 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 | 2023-01-11 | 2023-02-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-11 | 2023-02-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-11 | 2023-02-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-11 | 2023-02-03 | 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 necessary and PRN use is limited. | Health | 2023-01-11 | 2023-02-03 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-01-11 | 2023-02-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-11 | 2023-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-19 | 2023-02-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-01-19 | 2023-02-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-01-19 | 2023-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-19 | 2023-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-19 | 2023-02-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-10 | 2022-08-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-27 | 2022-02-18 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-18 | 2022-01-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-18 | 2022-01-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-18 | 2021-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-18 | 2021-12-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-18 | 2021-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-18 | 2021-12-08 | 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 | 2021-11-18 | 2021-12-08 | 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 necessary and PRN use is limited. | Health | 2021-11-18 | 2021-12-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-18 | 2021-11-30 | N |
| 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 | 2021-11-18 | 2021-11-24 | 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 | 2021-11-18 | 2021-11-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-18 | 2021-11-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-18 | 2021-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-06 | 2021-08-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-06 | 2021-08-27 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-06 | 2021-08-27 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-10 | 2020-05-06 | 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 necessary and PRN use is limited. | Health | 2020-03-12 | 2020-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-10 | 2020-03-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-03-10 | 2020-03-17 | N |
