Deficiency Records for Tiffany Square

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Updated as of August 01, 2024

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Deficiency Records for Tiffany Square

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.

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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-14 2024-03-20 Y
Ensure each resident receives an accurate assessment. Health 2023-10-05 2023-11-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-10-05 2023-11-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-05 2023-11-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-05 2023-11-17 N
Provide and implement an infection prevention and control program. Health 2023-10-05 2023-11-17 N
Implement emergency and standby power systems. Fire Safety 2023-10-03 2023-11-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-03 2023-11-17 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-10-03 2023-11-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-03 2023-11-17 N
Have proper medical gas storage and administration areas. Fire Safety 2023-10-03 2023-11-17 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-07-26 2022-08-26 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-07-26 2022-08-26 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 2022-07-26 2022-08-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-26 2022-08-26 N
Provide and implement an infection prevention and control program. Health 2022-07-26 2022-08-26 N
Perform COVID19 testing on residents and staff. Health 2022-07-26 2022-08-26 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-07-20 2022-08-26 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 2022-07-20 2022-08-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-07-20 2022-08-26 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2022-07-20 2022-08-26 N
Ensure each resident receives an accurate assessment. Health 2021-04-08 2021-05-06 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2021-04-08 2021-05-06 N
Provide and implement an infection prevention and control program. Health 2021-04-08 2021-05-06 N
Construct fire resistant interior walls. Fire Safety 2021-04-08 2021-04-30 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2021-04-08 2021-04-30 N

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