Deficiency Records for Tiffany Square
Updated as of February 01, 2018
This is not the most recent data for Tiffany Square. For the most recent information, click here.
A list of the most recent deficiencies for Tiffany Square. 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? |
|---|---|---|---|---|
| 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 | 2017-01-31 | 2017-03-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-31 | 2017-03-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-02 | 2017-02-27 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-11-16 | 2015-12-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-16 | 2015-12-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-16 | 2015-12-18 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-11-16 | 2015-12-17 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-16 | 2015-11-17 | N |
| 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. | Health | 2014-12-10 | 2015-01-13 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-12-10 | 2015-01-13 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-12-10 | 2015-01-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-12-10 | 2015-01-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-12-10 | 2015-01-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-12-10 | 2015-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-10 | 2015-01-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-12-10 | 2015-01-13 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-12-10 | 2015-01-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-10 | 2015-01-13 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-17 | 2015-01-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-12-17 | 2015-01-02 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-12-17 | 2015-01-02 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-12-17 | 2014-12-31 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-12-17 | 2014-12-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-12-17 | 2014-12-17 | N |
