CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Tanglewood Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Tanglewood Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tanglewood Nursing and Rehabilitation. 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 | 2024-10-17 | 2025-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-17 | 2025-01-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-17 | 2025-01-07 | N |
| Provide large enough exits. | Fire Safety | 2024-10-17 | 2025-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-17 | 2025-01-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-17 | 2025-01-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-17 | 2025-01-02 | 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 | 2024-10-17 | 2025-01-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-17 | 2025-01-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-17 | 2024-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-17 | 2024-12-05 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-17 | 2024-10-22 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-10-17 | 2024-10-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-17 | 2024-10-22 | Y |
| Keep all essential equipment working safely. | Health | 2024-10-17 | 2024-10-22 | Y |
| 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 | 2024-10-17 | 2024-10-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-17 | 2024-10-22 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-10-17 | 2024-10-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-17 | 2024-10-22 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-17 | 2024-10-22 | Y |
| 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 | 2024-10-17 | 2024-10-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-17 | 2024-10-22 | Y |
| 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 | 2024-10-17 | 2024-10-22 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-17 | 2024-10-22 | 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 | 2024-10-17 | 2024-10-22 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-10-17 | 2024-10-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-17 | 2024-06-18 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-18 | 2023-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-18 | 2023-06-02 | 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 | 2023-04-18 | 2023-05-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-18 | 2023-05-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-18 | 2023-05-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-18 | 2023-05-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-04-18 | 2023-05-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-18 | 2023-05-16 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-18 | 2023-05-16 | 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 | 2023-04-18 | 2023-05-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-18 | 2023-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-18 | 2023-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-18 | 2023-05-16 | 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 | 2023-04-18 | 2023-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-18 | 2023-05-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-18 | 2023-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-18 | 2023-05-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-18 | 2023-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-08 | 2022-03-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-08 | 2021-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2021-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2021-12-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-08 | 2021-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2021-12-13 | N |