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Deficiency Records for Tiffany Heights
View the most recent health deficiencies and inspection results for Tiffany Heights. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tiffany Heights. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-05 | 2026-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2026-01-22 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-12-05 | 2026-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2026-01-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-12-05 | 2026-01-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-12-05 | 2026-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-05 | 2026-01-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-05 | 2026-01-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-05 | 2026-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-05 | 2026-01-22 | N |
| Respond appropriately to all alleged violations. | Health | 2025-12-05 | 2026-01-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-05 | 2026-01-22 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2025-12-05 | 2026-01-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-12-05 | 2026-01-22 | 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 | 2025-12-05 | 2026-01-22 | N |
| Use approved construction type or materials. | Fire Safety | 2024-08-29 | 2024-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-29 | 2024-10-25 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-29 | 2024-10-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-29 | 2024-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-29 | 2024-10-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-29 | 2024-10-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-29 | 2024-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-29 | 2024-10-11 | 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 | 2024-08-29 | 2024-10-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-29 | 2024-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-17 | 2023-04-18 | 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 | 2023-02-17 | 2023-04-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-17 | 2023-04-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-02-17 | Not Fixed | N |