A list of the most recent deficiencies for Trellis Centennial. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-02 | 2023-08-25 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-02 | 2023-08-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-02 | 2023-08-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-02 | 2023-08-25 | Y |
| Develop a communication plan. | Fire Safety | 2023-04-06 | 2023-05-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-04-06 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-06 | 2023-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-06 | 2023-05-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-06 | 2023-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-06 | 2023-05-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-06 | 2023-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-06 | 2023-05-05 | 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 | 2023-04-06 | 2023-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-06 | 2023-05-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-06 | 2023-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-06 | 2023-05-05 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-10-13 | 2022-11-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-13 | 2022-08-10 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-13 | 2022-08-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-13 | 2022-08-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-08-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-13 | 2022-08-10 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-07-13 | 2022-08-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-30 | 2021-10-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-30 | 2021-10-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-30 | 2021-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-30 | 2021-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-30 | 2021-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-30 | 2021-10-28 | 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 | 2021-09-30 | 2021-10-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-30 | 2021-10-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-30 | 2021-10-28 | 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 | 2021-09-30 | 2021-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-10-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-30 | 2021-10-28 | 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 | 2021-04-22 | 2021-05-21 | Y |
