Deficiency Records for Carson Tahoe Transitional Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Carson Tahoe Transitional Rehabilitation 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-01-16 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-16 | 2024-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-16 | 2024-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-16 | 2024-02-16 | 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 | 2024-01-16 | 2024-02-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-16 | 2024-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-16 | 2024-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-16 | 2024-02-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-16 | 2024-02-16 | 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 | 2024-01-16 | 2024-02-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-10 | 2024-02-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-26 | 2023-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-03-03 | 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 | 2023-01-26 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-03-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-26 | 2023-03-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-26 | 2023-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-03-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-26 | 2023-03-03 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-01-26 | 2023-03-03 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-01-26 | 2023-03-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-26 | 2023-03-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-26 | 2023-03-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-26 | 2023-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-26 | 2023-03-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-26 | 2023-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-04-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-10 | 2022-04-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-03-10 | 2022-04-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-10 | 2022-04-15 | 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 | 2022-03-10 | 2022-04-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-17 | 2022-04-15 | N |
