Deficiency Records for Twin Rivers Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Twin Rivers Nursing and Rehabilitation Center. 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 implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-26 | 2022-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-10-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-30 | 2021-07-17 | Y |
| 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 | 2021-06-30 | 2021-07-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-30 | 2021-07-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-30 | 2021-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-30 | 2021-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-30 | 2021-07-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-09 | 2021-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-09 | 2021-07-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-07-08 | N |
| 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 | 2021-06-09 | 2021-06-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-26 | 2019-04-24 | 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 | 2019-03-26 | 2019-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-26 | 2019-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-26 | 2019-04-24 | 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 | 2019-03-26 | 2019-04-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-03-26 | 2019-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-26 | 2019-04-24 | N |
| 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 | 2019-03-26 | 2019-04-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-26 | 2019-04-24 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-03-26 | 2019-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-05 | 2019-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-10-23 | 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 | 2018-09-27 | 2018-10-23 | N |
| 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 | 2018-09-27 | 2018-10-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-27 | 2018-10-23 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-09-27 | 2018-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-25 | 2018-10-23 | 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 | 2018-09-25 | 2018-10-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-25 | 2018-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-25 | 2018-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-25 | 2018-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-25 | 2018-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-26 | 2018-08-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-26 | 2018-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-26 | 2018-05-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-04-26 | 2018-05-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-04-26 | 2018-05-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-04-26 | 2018-05-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-04-26 | 2018-05-19 | 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 | 2018-04-26 | 2018-05-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-26 | 2018-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-26 | 2018-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-26 | 2018-05-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-26 | 2018-05-19 | N |
