A list of the most recent deficiencies for Transitional Care Community, LLC. 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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-14 | 2023-03-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-14 | 2023-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-14 | 2023-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-14 | 2023-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-03-08 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-02-09 | 2023-03-08 | 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 | 2023-02-09 | 2023-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-09 | 2023-01-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-22 | 2021-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-22 | 2021-11-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-10-22 | 2021-11-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-22 | 2021-11-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-22 | 2021-11-23 | N |
| 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 | 2021-10-22 | 2021-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-22 | 2021-11-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-10-22 | 2021-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-21 | 2021-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-08 | 2020-02-22 | 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 | 2020-01-08 | 2020-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-08 | 2020-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-06 | 2020-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-06 | 2020-02-22 | N |
