Deficiency Records for Twin Cities Nursing and Rehab
Updated as of January 01, 2021
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-06-18 | 2020-08-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-05-01 | 2020-06-10 | Y |
| 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 | 2020-05-01 | 2020-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-05-01 | 2020-06-10 | 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 | 2020-05-01 | 2020-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-05-01 | 2020-06-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-05-01 | 2020-06-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-05-01 | 2020-06-10 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-05-01 | 2020-06-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-05-01 | 2020-06-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-05-01 | 2020-06-10 | 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 and emergencies. | Health | 2020-05-01 | 2020-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-01 | 2020-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-03-06 | 2020-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-06 | 2020-03-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-06 | 2020-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-06 | 2020-03-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-06 | 2020-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-06 | 2020-03-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-02-07 | 2020-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-07 | 2020-02-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-07 | 2020-02-24 | Y |
| 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 | 2020-02-07 | 2020-02-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-29 | 2019-11-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-29 | 2019-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-29 | 2019-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-29 | 2019-11-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-29 | 2019-11-22 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-19 | 2019-08-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-18 | 2019-07-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-18 | 2019-07-24 | 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 | 2019-06-18 | 2019-07-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-18 | 2019-07-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-18 | 2019-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-18 | 2019-07-24 | 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 | 2019-06-18 | 2019-07-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-18 | 2019-07-24 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-18 | 2019-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-18 | 2019-07-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-18 | 2019-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-18 | 2019-07-24 | N |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2019-06-18 | 2019-07-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-18 | 2019-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-18 | 2019-07-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-18 | 2019-07-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-18 | 2019-07-24 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-06-19 | 2019-07-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-19 | 2019-07-24 | 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 | 2019-06-19 | 2019-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-19 | 2019-07-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-19 | 2019-07-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-03 | 2019-07-17 | 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 | 2019-06-03 | 2019-07-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Be properly staffed | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-03 | 2019-07-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-03 | 2019-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-09-07 | Y |
| 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 | 2017-02-15 | 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 | 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 |
| Store, cook, and serve food in a safe and clean way. | 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 |
| 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 | 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 | 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 |
