Deficiency Records for Tallgrass Creek, Inc
Updated as of October 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? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-05 | 2021-09-03 | 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 | 2021-08-05 | 2021-09-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-05 | 2021-09-03 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-05 | 2021-09-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-05 | 2021-09-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-05 | 2021-09-03 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-08-05 | 2021-09-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-23 | 2021-07-23 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-07-23 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-23 | 2021-07-23 | N |
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 |