A list of the most recent deficiencies for Alice Byrd Tawes Nursing Home. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2022-11-01 | 2022-12-02 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-11-01 | 2022-12-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-01 | 2022-12-02 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-11-01 | 2022-12-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-25 | 2019-11-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-25 | 2019-11-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-09-20 | 2019-11-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-20 | 2019-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-20 | 2019-11-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-09-20 | 2019-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-20 | 2019-11-06 | 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 | 2019-09-20 | 2019-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-20 | 2019-11-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-20 | 2019-11-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-20 | 2019-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-11-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-05-10 | 2018-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-10 | 2018-08-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-05-01 | 2018-06-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-01 | 2018-06-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-01 | 2018-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-01 | 2018-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-01 | 2018-06-08 | 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 | 2018-05-01 | 2018-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-01 | 2018-06-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-01 | 2018-06-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-01 | 2018-06-08 | 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 | 2018-05-01 | 2018-06-08 | 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 | 2018-05-01 | 2018-06-08 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-01 | 2018-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-01 | 2018-06-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-01 | 2018-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-14 | 2017-04-30 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2017-02-14 | 2017-04-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-10 | 2017-04-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-10 | 2017-04-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-10 | 2017-04-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-10 | 2017-04-12 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-02-10 | 2017-04-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-10 | 2017-04-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-10 | 2017-04-12 | N |
