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Deficiency Records for Thorne Crest Retirement Center
View the most recent health deficiencies and inspection results for Thorne Crest Retirement Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Thorne Crest Retirement Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-27 | 2026-03-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-01-27 | 2026-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-27 | 2026-03-18 | 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 | 2026-01-27 | 2026-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-27 | 2026-03-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-27 | 2026-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-27 | 2026-03-06 | 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 | 2026-01-27 | 2026-03-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-27 | 2026-03-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-27 | 2026-03-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-01-27 | 2026-03-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-01-27 | 2026-03-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-01-27 | 2026-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-27 | 2026-03-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-27 | 2026-03-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-01-27 | 2026-03-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-01-27 | 2026-03-06 | 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 | 2026-01-27 | 2026-03-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-27 | 2026-03-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-01-27 | 2026-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-26 | 2025-12-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-18 | 2025-10-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-18 | 2025-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-18 | 2025-10-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-18 | 2025-10-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-20 | 2024-12-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-20 | 2024-12-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-11 | 2024-12-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-15 | 2024-11-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-15 | 2024-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-05-29 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-12-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-26 | 2023-12-15 | 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 | 2023-10-26 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-12-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-26 | 2023-12-15 | N |
| 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 | 2023-10-26 | 2023-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-26 | 2023-12-15 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-10-26 | 2023-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-26 | 2023-12-15 | N |