A list of the most recent deficiencies for The Timbers of Cass County. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-09 | 2024-01-09 | N |
| 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 | 2023-10-11 | 2023-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-10-11 | 2023-11-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-11 | 2023-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-11 | 2023-11-15 | 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 | 2023-10-09 | 2023-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-09 | 2023-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-22 | 2023-04-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-21 | 2023-01-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-21 | 2023-01-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-21 | 2023-01-26 | 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 | 2022-12-21 | 2023-01-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-21 | 2023-01-26 | 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 | 2022-10-05 | 2022-12-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-12 | 2022-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-12 | 2022-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-12 | 2022-11-14 | 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 | 2022-10-12 | 2022-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-12 | 2022-11-14 | 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 | 2022-10-12 | 2022-11-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-12 | 2022-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-12 | 2022-11-14 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-12 | 2022-11-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-12 | 2022-11-14 | Y |
| 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 | 2022-10-12 | 2022-11-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-11-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-12 | 2022-11-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-31 | 2022-04-25 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-03-31 | 2022-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-03-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-12 | 2021-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-12 | 2021-11-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-12 | 2021-11-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-07-12 | 2021-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-12 | 2021-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-12 | 2021-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-12 | 2021-09-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-07 | 2021-08-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-12 | 2021-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-12 | 2021-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-12 | 2021-08-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-12 | 2021-08-13 | 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 | 2021-07-12 | 2021-08-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-12 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-12 | 2021-08-13 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-12 | 2021-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-12 | 2021-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-12 | 2021-08-13 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-12 | 2021-08-13 | 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 | 2021-07-12 | 2021-08-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-12 | 2021-08-13 | 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 | 2021-07-12 | 2021-08-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-12 | 2021-08-13 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-07 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-07 | 2021-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-14 | 2021-05-04 | 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 | 2021-04-14 | 2021-05-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-14 | 2021-05-04 | Y |
