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Deficiency Records for Twin Oaks Nursing Home
View the most recent health deficiencies and inspection results for Twin Oaks Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Twin Oaks Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-15 | 2026-02-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-13 | 2025-09-27 | 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 | 2025-08-13 | 2025-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-13 | 2025-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-13 | 2025-09-18 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-08-13 | 2025-09-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-13 | 2025-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-13 | 2025-09-18 | 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 | 2025-08-13 | 2025-09-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-30 | 2025-07-21 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-30 | 2025-06-14 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-04-30 | 2025-05-30 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-04-30 | 2025-05-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-30 | 2025-05-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-07 | 2024-10-08 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-05 | 2024-10-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-07 | 2024-09-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-07 | 2024-09-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-07 | 2024-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-07 | 2024-09-24 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-07 | 2024-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-09-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-08-07 | 2024-09-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-08-07 | 2024-09-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-08-07 | 2024-09-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-07 | 2024-09-05 | 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 | 2024-08-07 | 2024-09-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-07 | 2024-09-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-27 | 2024-08-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-27 | 2024-08-07 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-06-27 | 2024-08-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-02 | 2024-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-02 | 2024-06-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-04 | 2024-02-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-04 | 2024-02-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-04 | 2024-02-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2024-01-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-02 | 2024-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2024-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2024-01-31 | N |
| 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 | 2023-11-02 | 2024-01-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-02 | 2024-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-02 | 2024-01-31 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-02 | 2024-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-02 | 2024-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-12-20 | 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 | 2023-11-02 | 2023-12-17 | 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 | 2023-08-24 | 2023-10-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-24 | 2023-10-08 | Y |