A list of the most recent deficiencies for Traverse Care 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-31 | 2024-02-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-29 | 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 | 2024-01-31 | 2024-02-29 | N |
| Post nurse staffing information every day. | Health | 2024-01-31 | 2024-02-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-31 | 2024-02-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-02-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-02-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-31 | 2024-02-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-31 | 2024-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-31 | 2024-02-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-01-31 | 2024-02-15 | 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 | 2024-01-31 | 2024-02-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-31 | 2024-02-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-31 | 2024-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-31 | 2024-02-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-31 | 2024-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-31 | 2024-02-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-05 | 2023-07-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-05 | 2023-07-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-05 | 2023-07-31 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-03-16 | 2023-04-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-03-16 | 2023-04-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-16 | 2023-04-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-16 | 2023-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-16 | 2023-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-16 | 2023-04-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-16 | 2023-04-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-02-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-10 | 2023-02-15 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-06 | 2022-11-04 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-06 | 2022-11-04 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-01 | 2022-09-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-01 | 2022-09-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-01 | 2022-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-01 | 2022-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2021-12-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-06 | 2021-09-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-06 | 2021-09-17 | 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 | 2021-08-06 | 2021-09-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-06 | 2021-07-12 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-05-06 | 2021-07-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-06 | 2021-07-12 | 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 | 2021-05-06 | 2021-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-06 | 2021-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-07-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-06 | 2021-07-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-06 | 2021-07-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-06 | 2021-07-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-05 | 2021-07-12 | 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 | 2021-05-05 | 2021-07-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-05 | 2021-07-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-08 | 2021-04-03 | Y |
