A list of the most recent deficiencies for Timberlake 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-18 | 2023-11-01 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-31 | 2023-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-11 | 2023-07-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-11 | 2023-05-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-06 | 2022-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-06 | 2022-12-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-24 | 2022-11-23 | Y |
| 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 | 2022-10-24 | 2022-11-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-06 | 2022-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2022-10-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-06 | 2022-10-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-09-06 | 2022-10-19 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-09-06 | 2022-10-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-06 | 2022-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-06 | 2022-10-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-06 | 2022-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-06 | 2022-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-06 | 2022-10-19 | N |
| Post nurse staffing information every day. | Health | 2022-09-06 | 2022-10-19 | 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 | 2022-09-06 | 2022-10-19 | 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 | 2022-09-06 | 2022-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-06 | 2022-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-06 | 2022-10-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-06 | 2022-10-19 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-09-06 | 2022-10-19 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-06 | 2022-10-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-22 | 2022-04-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-22 | 2022-04-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-21 | 2021-12-01 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-08-02 | 2021-08-26 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-08-02 | 2021-08-26 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-08-02 | 2021-08-26 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-08-02 | 2021-08-26 | 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 | 2021-08-02 | 2021-08-26 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-08 | 2021-08-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-08 | 2019-12-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-08 | 2019-12-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-08 | 2019-12-23 | 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 | 2019-11-08 | 2019-12-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-08 | 2019-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2019-12-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-08 | 2019-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-08 | 2019-12-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-11-08 | 2019-12-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-08 | 2019-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-08 | 2019-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-11-08 | 2019-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-08 | 2019-12-23 | 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 | 2019-11-08 | 2019-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-08 | 2019-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-08 | 2019-12-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-13 | 2019-01-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-13 | 2019-01-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-13 | 2019-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-13 | 2019-01-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-13 | 2019-01-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-12-13 | 2019-01-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-13 | 2019-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-01-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-13 | 2019-01-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-13 | 2019-01-27 | 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 | 2018-12-13 | 2019-01-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-13 | 2019-01-27 | N |
