Deficiency Records for Tallgrass Creek, Inc
Updated as of March 01, 2019
This is not the most recent data for Tallgrass Creek, Inc. For the most recent information, click here.
A list of the most recent deficiencies for Tallgrass Creek, Inc. 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? |
|---|---|---|---|---|
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-11-21 | 2018-12-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-30 | 2018-09-29 | N |
| 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 | 2018-08-30 | 2018-09-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-30 | 2018-09-29 | 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 | 2018-08-30 | 2018-09-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-30 | 2018-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-09-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-05-08 | 2018-06-12 | 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 | 2018-05-08 | 2018-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-08 | 2018-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-20 | 2018-06-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-01 | 2017-11-30 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-04-18 | 2017-05-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-18 | 2017-05-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-18 | 2017-05-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-18 | 2017-05-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-18 | 2017-05-16 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-18 | 2017-05-16 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-18 | 2017-05-16 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-18 | 2017-05-16 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-08-08 | 2016-09-02 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-08 | 2016-09-02 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-08-08 | 2016-09-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-08 | 2016-09-02 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-08 | 2016-09-02 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-27 | 2015-09-25 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-08-27 | 2015-09-25 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-08-27 | 2015-09-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-27 | 2015-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-27 | 2015-09-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-08-27 | 2015-09-25 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-08-27 | 2015-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-27 | 2015-09-25 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-08-27 | 2015-09-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-08-27 | 2015-09-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-27 | 2015-09-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-05-28 | 2015-06-09 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-05-28 | 2015-06-09 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-05-28 | 2015-06-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-05-28 | 2015-06-09 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-05-28 | 2015-06-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-05-28 | 2015-06-09 | N |
