A list of the most recent deficiencies for Brent B Tinnin Manor. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2022-08-17 | 2022-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-17 | 2022-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-17 | 2022-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-17 | 2022-09-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-17 | 2022-09-30 | 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 | 2022-08-17 | 2022-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-17 | 2022-09-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-17 | 2022-09-30 | 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 | 2022-08-17 | 2022-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-17 | 2022-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-19 | 2020-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-19 | 2020-01-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-19 | 2020-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-19 | 2020-01-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-19 | 2020-01-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-11-09 | 2018-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-09 | 2018-12-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-09 | 2018-12-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-11-09 | 2018-12-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-09 | 2018-12-10 | 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 | 2018-11-09 | 2018-12-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-09 | 2018-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-09 | 2018-12-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-09 | 2018-12-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-11-09 | 2018-12-10 | 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 | 2018-11-09 | 2018-12-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-11-09 | 2018-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-09 | 2018-12-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-09 | 2018-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-09 | 2018-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-09 | 2018-12-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-09 | 2018-12-06 | 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 | 2018-11-09 | 2018-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-09 | 2018-12-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-09 | 2018-11-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-09 | 2018-11-28 | N |
| Meet other general requirements. | Fire Safety | 2018-11-09 | 2018-11-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-09 | 2018-11-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-11-09 | 2018-11-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-09 | 2018-11-16 | 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 | 2018-11-09 | 2018-11-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-09 | 2018-11-13 | N |
