Deficiency Records for Tallgrass Creek, Inc
Updated as of June 01, 2021
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? |
---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-23 | 2019-09-09 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-07-29 | 2019-07-30 | Y |
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 |
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 |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-18 | 2017-05-16 | 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 | 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 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 | 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 | 2017-04-18 | 2017-05-16 | N |
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 |