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Deficiency Records for Tonganoxie Terrace
View the most recent health deficiencies and inspection results for Tonganoxie Terrace. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tonganoxie Terrace. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-29 | 2026-04-30 | 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 | 2026-01-29 | 2026-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-01-29 | 2026-04-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2026-01-29 | 2026-03-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-29 | 2026-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-29 | 2026-02-28 | 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 | 2026-01-29 | 2026-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-29 | 2026-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-29 | 2026-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-29 | 2026-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-29 | 2026-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-29 | 2026-02-28 | 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 | 2026-01-29 | 2026-02-28 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-29 | 2026-02-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2026-01-29 | 2026-02-28 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2026-01-29 | 2026-02-28 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2026-01-29 | 2026-02-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-01-29 | 2026-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-29 | 2026-02-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-29 | 2026-02-28 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-08-06 | 2025-09-02 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-06 | 2025-09-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-06 | 2025-09-02 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-20 | 2024-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-20 | 2024-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-20 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-20 | 2024-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-20 | 2024-05-30 | 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 | 2024-03-20 | 2024-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-20 | 2024-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-20 | 2024-05-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-20 | 2024-05-03 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-20 | 2024-05-03 | 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 | 2024-03-20 | 2024-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-05-03 | 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 | 2024-03-20 | 2024-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-20 | 2024-05-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-20 | 2024-05-03 | 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 | 2024-03-20 | 2024-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-20 | 2024-05-03 | 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 | 2024-03-20 | 2024-05-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-20 | 2024-05-03 | 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 | 2024-03-20 | 2024-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-20 | 2024-05-03 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-20 | 2024-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-08-16 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-07 | 2022-10-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-07 | 2022-10-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-07 | 2022-10-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-07 | 2022-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-07 | 2022-10-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-07 | 2022-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-07 | 2022-10-21 | 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 | 2022-09-07 | 2022-10-21 | 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 | 2022-09-07 | 2022-10-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-07 | 2022-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-07 | 2022-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-07 | 2022-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-07 | 2022-10-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-07 | 2022-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-07 | 2022-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-07 | 2022-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-07 | 2022-10-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-07 | 2022-10-21 | 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 | 2022-09-07 | 2022-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-07 | 2022-10-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-07 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Meet other general requirements. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-07 | 2022-10-13 | 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 | 2022-09-07 | 2022-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-07 | 2022-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-07 | 2022-10-13 | N |