Deficiency Records for Twin Cities Nursing and Rehab
Updated as of August 01, 2018
This is not the most recent data for Twin Cities Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Twin Cities Nursing and Rehab. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-24 | 2018-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-24 | 2018-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-26 | 2018-06-01 | 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 | 2018-04-26 | 2018-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-26 | 2018-06-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-26 | 2018-06-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-26 | 2018-06-01 | 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 | 2018-04-26 | 2018-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-26 | 2018-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-26 | 2018-06-01 | 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 | 2018-04-26 | 2018-06-01 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-04-26 | 2018-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-06-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-26 | 2018-06-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-24 | 2018-05-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-24 | 2018-05-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-24 | 2018-05-28 | N |
| Be properly staffed | Fire Safety | 2018-04-24 | 2018-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-24 | 2018-05-28 | 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 | 2018-04-24 | 2018-05-25 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-09-20 | 2017-11-06 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-09-20 | 2017-11-06 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-20 | 2017-11-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-20 | 2017-11-06 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-09-20 | 2017-11-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-25 | 2017-06-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-25 | 2017-06-30 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-05-25 | 2017-06-30 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-15 | 2017-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-15 | 2017-04-25 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-15 | 2017-04-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-15 | 2017-04-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-15 | 2017-04-25 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-15 | 2017-04-25 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-15 | 2017-04-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-15 | 2017-04-25 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-02-16 | 2017-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-16 | 2017-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-16 | 2017-03-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-07 | 2017-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-07 | 2017-01-03 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-12-07 | 2017-01-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-20 | 2016-08-10 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-07-20 | 2016-08-10 | Y |
| Provide clean bed and bath linens that are in good condition. | Health | 2016-06-15 | 2016-07-26 | Y |
| Keep all essential equipment working safely. | Health | 2016-06-15 | 2016-07-26 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2016-06-15 | 2016-07-26 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-06-15 | 2016-07-26 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-06-15 | 2016-07-26 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-17 | 2016-04-30 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-03-17 | 2016-04-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-17 | 2016-04-30 | N |
| Portable fire extinguishers. | Fire Safety | 2016-03-17 | 2016-04-30 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-03-17 | 2016-04-30 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-17 | 2016-04-30 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-17 | 2016-04-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-17 | 2016-04-30 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-03-17 | 2016-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-17 | 2016-04-30 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-17 | 2016-04-30 | 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 | 2016-03-17 | 2016-04-30 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-17 | 2016-04-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-17 | 2016-04-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-17 | 2016-04-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-17 | 2016-04-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-17 | 2016-04-30 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2016-03-17 | 2016-04-30 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-03-17 | 2016-04-30 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-03-17 | 2016-04-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-10-21 | 2015-11-21 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-10-21 | 2015-11-21 | Y |
