Deficiency Records for Transcendent Healthcare of Boonville - North
Updated as of April 01, 2024
A list of the most recent deficiencies for Transcendent Healthcare of Boonville - North. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Develop a communication plan. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-11-03 | 2023-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-11-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-25 | 2023-11-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-25 | 2023-11-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-25 | 2023-11-03 | 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 | 2023-09-25 | 2023-11-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-25 | 2023-11-03 | 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 | 2023-09-25 | 2023-11-03 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-25 | 2023-11-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-25 | 2023-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-25 | 2023-11-03 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-25 | 2023-11-03 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-09-25 | 2023-11-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-25 | 2023-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-25 | 2023-11-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-25 | 2023-11-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-06 | 2023-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-17 | 2023-06-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-17 | 2023-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-14 | 2023-05-05 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-04-14 | 2023-05-05 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-09-07 | 2022-09-20 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-07 | 2022-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-17 | 2021-12-17 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-28 | 2021-08-27 | 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 | 2021-07-28 | 2021-08-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-07-28 | 2021-08-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-19 | 2021-08-18 | 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 | 2021-07-19 | 2021-08-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-07-19 | 2021-08-18 | 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 | 2021-07-19 | 2021-08-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-19 | 2021-08-18 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-19 | 2021-08-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-19 | 2021-08-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-19 | 2021-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-08-18 | 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 | 2021-07-19 | 2021-08-18 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2021-07-19 | 2021-08-18 | Y |
| Post nurse staffing information every day. | Health | 2021-07-19 | 2021-08-18 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-19 | 2021-08-18 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-07-19 | 2021-08-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-19 | 2021-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-08-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Develop a communication plan. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-19 | 2020-09-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-12 | 2020-05-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-12 | 2020-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-05-02 | 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 | 2020-03-12 | 2020-05-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-12 | 2020-05-02 | N |
| 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 | 2020-03-12 | 2020-05-02 | N |
| Post nurse staffing information every day. | Health | 2020-03-12 | 2020-05-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-12 | 2020-05-02 | 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 | 2020-03-12 | 2020-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-12 | 2020-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-05-02 | N |
