A list of the most recent deficiencies for Tri-Community Nursing 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? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2024-01-18 | 2024-03-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-18 | 2024-03-03 | 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 | 2024-01-18 | 2024-03-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-18 | 2024-03-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-18 | 2024-03-03 | N |
| 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 | 2024-01-18 | 2024-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-03-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-18 | 2024-03-03 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-18 | 2024-03-03 | 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 | 2024-01-18 | 2024-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-18 | 2024-03-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-18 | 2024-03-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-08 | 2023-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-08 | 2023-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-08 | 2023-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-08 | 2023-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | 2023-03-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-02-08 | 2023-02-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-02-08 | 2023-02-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-01 | 2023-01-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2023-01-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-01 | 2023-01-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-01 | 2023-01-04 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-20 | 2022-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-12 | 2022-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-26 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-12 | 2022-02-26 | N |
