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Deficiency Records for Timbercrest Church of The Brethren Home
View the most recent health deficiencies and inspection results for Timbercrest Church of The Brethren Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Timbercrest Church of The Brethren Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-26 | 2025-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-26 | 2025-11-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-26 | 2025-11-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-26 | 2025-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-26 | 2025-09-19 | 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 | 2025-08-26 | 2025-09-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-08-26 | 2025-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-26 | 2025-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-09-30 | 2024-11-20 | 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 | 2024-09-30 | 2024-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-09-30 | 2024-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-30 | 2024-10-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-30 | 2024-10-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-09-30 | 2024-10-18 | 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 | 2024-09-30 | 2024-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-14 | 2024-04-10 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-14 | 2023-10-20 | 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 | 2023-08-14 | 2023-10-20 | N |
| Meet other general requirements. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-14 | 2023-10-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-14 | 2023-10-20 | 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 | 2023-08-14 | 2023-09-01 | N |