Deficiency Records for Tallgrass Creek, Inc
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-01-11 | 2022-01-28 | Y |
| 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 |
| 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 |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 |
