A list of the most recent deficiencies for Caretel Inns of Tri-Cities. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-19 | 2023-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-08-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-21 | 2023-08-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-21 | 2023-08-25 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-07-21 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-08-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-21 | 2023-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-25 | 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 | 2023-07-21 | 2023-08-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-21 | 2023-08-25 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-07-19 | 2023-08-25 | N |
| 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 | 2023-07-19 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-08-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-19 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-19 | 2023-08-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-09 | 2023-03-24 | Y |
| 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 | 2023-03-09 | 2023-03-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-03 | 2023-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-22 | 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 | 2022-04-14 | 2022-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-05-19 | 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 | 2022-04-14 | 2022-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-05-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-14 | 2022-05-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-14 | 2022-05-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-14 | 2022-05-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-14 | 2022-05-19 | 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 | 2022-04-14 | 2022-05-19 | 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 | 2022-04-13 | 2022-05-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-13 | 2022-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-13 | 2022-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-03-04 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-14 | 2022-03-04 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-11 | 2020-03-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-12 | 2020-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-12 | 2020-03-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-12 | 2020-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-12 | 2020-03-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-12 | 2020-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-12 | 2020-03-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-12 | 2020-03-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-12 | 2020-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-12 | 2020-03-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-12 | 2020-03-20 | 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 | 2020-02-12 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-03-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-02-12 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-03-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-12 | 2020-03-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-11 | 2020-03-20 | N |
