Deficiency Records for Twilight Acres
Updated as of April 01, 2022
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? |
---|---|---|---|---|
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 | 2021-08-12 | 2021-09-02 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-12 | 2021-09-02 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-12 | 2021-09-02 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-09-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-19 | 2021-08-30 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-08-19 | 2021-08-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-19 | 2021-08-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-19 | 2021-08-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-19 | 2021-08-24 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-19 | 2021-08-23 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-19 | 2021-08-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-19 | 2021-08-23 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-08-19 | 2021-08-19 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-19 | 2021-08-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-11 | 2021-02-11 | Y |
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 |
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 |
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 |
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 |