Deficiency Records for Thorne Crest Retirement Center

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Updated as of May 01, 2024

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Deficiency Records for Thorne Crest Retirement Center

A list of the most recent deficiencies for Thorne Crest Retirement Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Thorne Crest Retirement Center. 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?
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
Ensure each resident receives an accurate assessment. 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
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
Assist a resident in gaining access to vision and hearing services. 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
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
Provide care or services that was trauma informed and/or culturally competent. Health 2023-10-26 2023-12-15 N
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
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-24 2023-12-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-12-08 2023-01-19 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-12-08 2023-01-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-08 2023-01-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-08 2023-01-19 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 2022-12-08 2023-01-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-08 2023-01-19 N
Implement a program that monitors antibiotic use. Health 2022-12-08 2023-01-19 N
Ensure staff are vaccinated for COVID-19 Health 2022-12-08 2023-01-19 N
Implement emergency and standby power systems. Fire Safety 2022-12-08 2023-01-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-07 2023-01-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-07 2023-01-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-07 2023-01-06 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-08-20 2021-10-01 N
Ensure each resident receives an accurate assessment. Health 2021-08-20 2021-10-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-20 2021-10-01 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-08-20 2021-10-01 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 2021-08-20 2021-10-01 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-20 2021-10-01 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 2021-08-20 2021-10-01 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2021-08-20 2021-10-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-20 2021-10-01 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-08-20 2021-10-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-08-20 2021-10-01 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-08-20 2021-10-01 Y
Provide and implement an infection prevention and control program. Health 2021-08-20 2021-09-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-17 2021-09-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-17 2021-08-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-17 2021-08-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-08-17 2021-08-17 N

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