A list of the most recent deficiencies for Titonka 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? |
|---|---|---|---|---|
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-16 | 2023-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-16 | 2023-03-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-21 | 2023-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-21 | 2023-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-16 | 2021-10-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-16 | 2021-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-16 | 2021-10-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-16 | 2021-10-09 | 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 | 2021-09-16 | 2021-10-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-09-16 | 2021-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-16 | 2021-10-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-09-16 | 2021-10-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-07 | 2021-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-07 | 2021-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-07 | 2021-10-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-07 | 2021-10-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-07 | 2021-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-07 | 2021-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-07 | 2021-09-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-09-07 | 2021-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-07 | 2021-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-07 | 2021-09-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-12 | 2019-12-11 | 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 | 2019-11-06 | 2019-12-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-06 | 2019-12-06 | N |
