Deficiency Records for Twilight Acres
Updated as of July 01, 2020
This is not the most recent data for Twilight Acres. For the most recent information, click here.
A list of the most recent deficiencies for Twilight Acres. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-31 | 2019-11-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-31 | 2019-11-11 | 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 | 2019-10-31 | 2019-11-07 | 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 | 2019-10-24 | 2019-11-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-24 | 2019-11-07 | 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 | 2019-10-24 | 2019-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-24 | 2019-11-07 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-10-31 | 2019-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-31 | 2019-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-31 | 2019-10-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-13 | 2018-08-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-13 | 2018-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-13 | 2018-08-15 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-31 | 2017-09-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-31 | 2017-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-31 | 2017-09-08 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-09 | 2017-06-09 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-05-09 | 2017-05-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-05-09 | 2017-05-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-04 | 2017-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-04 | 2017-05-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-04 | 2017-05-23 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2017-05-04 | 2017-05-23 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-05-04 | 2017-05-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-04 | 2017-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-09 | 2017-05-18 | 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 | 2017-05-09 | 2017-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-09 | 2017-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-09 | 2017-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-09 | 2017-05-10 | N |
