A list of the most recent deficiencies for Teresian House Nursing Home Co Inc. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-05-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-23 | 2022-01-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-23 | 2022-01-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-23 | 2022-01-30 | Y |
| 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 | 2021-12-23 | 2022-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-23 | 2022-01-23 | 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 | 2021-12-23 | 2022-01-23 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2021-12-23 | 2022-01-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-07 | 2022-01-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-23 | 2021-12-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-03 | 2021-07-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-12-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-10 | 2019-12-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-10 | 2019-12-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-10 | 2019-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-12-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-10 | 2019-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-12-09 | 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 | 2019-10-10 | 2019-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-12-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-10 | 2019-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-10 | 2019-12-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-10 | 2019-12-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-10 | 2019-12-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-10 | 2019-12-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-10-10 | 2019-12-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-16 | 2018-06-08 | 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 | 2018-04-16 | 2018-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-16 | 2018-06-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-16 | 2018-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-16 | 2018-06-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-16 | 2018-06-08 | 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 | 2018-04-16 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-16 | 2018-06-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-16 | 2018-06-08 | N |
