Deficiency Records for Tabitha Nursing Home
Updated as of November 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 |