Deficiency Records for Tabitha Nursing Home
Updated as of March 01, 2023
This is not the most recent data for Tabitha Nursing Home. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-19 | 2021-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-01-19 | 2021-02-19 | Y |
| 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 | 2021-01-19 | 2021-02-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-23 | 2019-12-09 | 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 | 2019-10-23 | 2019-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-10-23 | 2019-12-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-22 | 2019-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-22 | 2019-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-22 | 2019-12-06 | 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 | 2019-10-22 | 2019-12-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-22 | 2019-12-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-22 | 2019-12-06 | 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 | 2019-10-22 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-22 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-22 | 2019-12-06 | N |
