A list of the most recent deficiencies for Tlc Care Center. 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? |
|---|---|---|---|---|
| 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-06-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-11 | 2023-06-23 | Y |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-17 | 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 | 2022-11-17 | 2022-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-17 | 2022-12-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-18 | 2022-05-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-10 | 2021-07-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-26 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-26 | 2019-09-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-30 | 2019-09-04 | 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 | Not Fixed | 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 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-09 | Not Fixed | N |
| 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 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-09 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
| 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 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | Not Fixed | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Develop a communication plan. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-02-08 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-08 | Not Fixed | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-08 | Not Fixed | N |
