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Deficiency Records for Tlc Care Center

View the most recent health deficiencies and inspection results for Tlc Care Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Tlc Care Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-03-20 2026-04-17 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2026-03-06 2026-04-10 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-03-04 2026-04-10 Y
Keep residents' personal and medical records private and confidential. Health 2026-03-20 2026-03-11 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2025-12-31 2026-01-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-12-31 2026-01-31 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-03-28 2025-05-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-03-28 2025-05-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-04-24 2025-05-15 Y
Address subsistence needs for staff and patients. Fire Safety 2025-03-28 2025-05-08 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-03-28 2025-05-08 N
Have proper medical gas storage and administration areas. Fire Safety 2025-03-28 2025-05-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-03-28 2025-05-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-03-28 2025-05-08 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2025-03-28 2025-05-08 N
Establish staff and initial training requirements. Fire Safety 2025-03-28 2025-05-08 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-03-28 2025-05-08 N
Have an alternate power supply for its alarm system. Fire Safety 2025-03-28 2025-05-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-03-28 2025-05-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-03-28 2025-05-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-03-28 2025-05-08 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2025-03-28 2025-04-30 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2025-03-28 2025-04-30 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2025-03-28 2025-04-30 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-03-28 2025-04-30 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 2025-03-28 2025-04-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-28 2025-04-30 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2025-03-28 2025-04-30 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-03-28 2025-04-30 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2025-03-28 2025-04-30 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2025-03-28 2025-04-30 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-03-28 2025-04-30 N
Provide and implement an infection prevention and control program. Health 2025-03-28 2025-04-30 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-03-28 2025-04-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-03-28 2025-04-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-03-28 2025-04-30 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-03-28 2025-04-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-03-28 2025-03-28 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-12-06 2025-01-17 Y
Provide and implement an infection prevention and control program. Health 2024-12-06 2025-01-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-06 2025-01-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-12-06 2025-01-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-06 2025-01-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-06 2025-01-17 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2024-12-06 2025-01-17 Y
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2024-12-06 2025-01-17 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-12-06 2025-01-17 Y
Provide a written emergency evacuation plan. Fire Safety 2024-02-09 2024-03-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-09 2024-03-28 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-02-09 2024-03-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-02-09 2024-03-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-09 2024-03-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-02-09 2024-03-28 N
Implement emergency and standby power systems. Fire Safety 2024-02-09 2024-03-28 N
Establish emergency prep training and testing. Fire Safety 2024-02-09 2024-03-28 N
Develop a communication plan. Fire Safety 2024-02-09 2024-03-28 N
Address subsistence needs for staff and patients. Fire Safety 2024-02-09 2024-03-28 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-02-09 2024-03-28 N
Have restrictions on the use of flammable curtains. Fire Safety 2024-02-09 2024-03-28 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-09 2024-03-28 N
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Fire Safety 2024-02-09 2024-03-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-09 2024-03-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-09 2024-03-28 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-02-09 2024-03-28 N
Provide and implement an infection prevention and control program. Health 2024-02-09 2024-03-18 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-02-09 2024-03-18 Y
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-02-09 2024-03-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-09 2024-03-18 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 2024-02-09 2024-03-18 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-02-09 2024-03-18 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-02-09 2024-03-18 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-02-09 2024-03-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-09 2024-03-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-09 2024-03-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-09 2024-03-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-09 2024-03-18 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-09 2024-03-18 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-01 2023-11-30 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-11-01 2023-11-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-01 2023-11-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-01 2023-11-30 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-01 2023-11-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-01 2023-11-30 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-11-01 2023-11-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-01 2023-11-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-18 2022-12-31 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-11-18 2022-12-31 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-11-18 2022-12-31 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-11-18 2022-12-31 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-11-18 2022-12-31 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-11-18 2022-12-31 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-11-18 2022-12-31 N
Address subsistence needs for staff and patients. Fire Safety 2022-11-18 2022-12-23 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-11-18 2022-12-23 N
Conduct testing and exercise requirements. Fire Safety 2022-11-18 2022-12-23 N
Implement emergency and standby power systems. Fire Safety 2022-11-18 2022-12-23 N
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 2022-11-18 2022-12-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-18 2022-12-23 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-11-18 2022-12-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-18 2022-12-23 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2022-11-18 2022-12-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-18 2022-12-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-18 2022-12-23 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-18 2022-12-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-18 2022-12-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-18 2022-12-23 N

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