A list of the most recent deficiencies for Tabitha Nursing Home. 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 | 2024-01-09 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-09 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-02-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-10 | 2024-02-16 | 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 | 2024-01-10 | 2024-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-02 | 2023-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-02 | 2023-03-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-02 | 2023-03-19 | N |
| Keep all essential equipment working safely. | Health | 2023-02-02 | 2023-03-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-01 | 2023-03-19 | 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 | 2023-02-01 | 2023-03-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-02-01 | 2023-03-19 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2021-09-23 | 2021-10-26 | 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 | 2021-09-23 | 2021-10-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-23 | 2021-10-26 | 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 | 2021-09-23 | 2021-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-10-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-09-23 | 2021-10-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-23 | 2021-10-26 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-23 | 2021-10-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-23 | 2021-10-26 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-21 | 2021-10-26 | 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 | 2021-09-21 | 2021-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-09-21 | 2021-10-26 | N |
