CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Tolstoy Foundation Rehabilitation and Nrsg Center
View the most recent health deficiencies and inspection results for Tolstoy Foundation Rehabilitation and Nrsg Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tolstoy Foundation Rehabilitation and Nrsg Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-02 | 2025-12-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-09-02 | 2025-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-06 | 2025-12-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-08-06 | 2025-12-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-06 | 2025-12-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-06 | 2025-12-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-06 | 2025-12-03 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-08-06 | 2025-12-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-06 | 2025-12-03 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-09-02 | 2025-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-02 | 2025-11-07 | N |
| Establish methods for sharing information. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-02 | 2025-10-24 | N |
| 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 | 2025-09-02 | 2025-10-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-09-02 | 2025-10-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-09-02 | 2025-10-23 | 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 | 2025-09-02 | 2025-10-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-02 | 2025-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-02 | 2025-10-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-02 | 2025-10-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-02 | 2025-10-23 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-09-02 | 2025-10-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-02 | 2025-10-23 | N |
| 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 | 2025-09-02 | 2025-10-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-09-02 | 2025-10-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-09-02 | 2025-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-02 | 2025-10-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-30 | 2024-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-30 | 2024-09-27 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-04 | 2024-07-19 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-04 | 2024-07-19 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-04 | 2024-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-04 | 2024-07-19 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-04 | 2024-07-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-04 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-04 | 2024-07-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-04 | 2024-07-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-04 | 2024-07-19 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-04 | 2024-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-04 | 2024-07-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-04 | 2024-07-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-04 | 2024-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-04 | 2024-07-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-04 | 2024-07-19 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-06-04 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-06-18 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-06-15 | 2021-09-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-15 | 2021-09-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-06-15 | 2021-09-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-15 | 2021-09-08 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-15 | 2021-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-15 | 2021-09-08 | 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 | 2021-06-15 | 2021-09-08 | 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 | 2021-06-15 | 2021-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-15 | 2021-09-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-06-15 | 2021-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-15 | 2021-08-10 | N |