Deficiency Records for Tlc Care Center
Updated as of June 01, 2023
This is not the most recent data for Tlc Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 and implement an infection prevention and control program. | Health | 2020-12-02 | 2021-01-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-26 | 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-16 | 2018-08-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-07-16 | 2018-08-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-07-16 | 2018-08-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-16 | 2018-08-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-07-16 | 2018-08-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-16 | 2018-08-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-16 | 2018-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-16 | 2018-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-16 | 2018-08-30 | 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 | 2018-07-16 | 2018-08-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-16 | 2018-08-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-16 | 2018-08-30 | 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 | 2018-07-16 | 2018-08-30 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide or obtain dental services for each resident. | Health | 2018-07-16 | 2018-08-30 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-16 | 2018-08-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-11 | 2018-08-30 | N |
