A list of the most recent deficiencies for Ten Broeck Commons. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-20 | 2023-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-20 | 2023-11-15 | Y |
| Install proper backup exit lighting. | Fire Safety | 2023-09-20 | 2023-11-15 | 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 | 2023-09-20 | 2023-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-20 | 2023-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-20 | 2023-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-20 | 2023-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-20 | 2023-11-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-20 | 2023-10-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-12 | 2023-07-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-11-18 | 2022-12-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-08 | 2020-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-08 | 2020-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-08 | 2020-10-14 | 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 | 2020-01-08 | 2020-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-08 | 2020-10-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-01-28 | 2020-07-17 | 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 | 2020-01-28 | 2020-07-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-28 | 2020-07-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-28 | 2020-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-28 | 2020-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-28 | 2020-07-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-13 | 2018-03-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-02-13 | 2018-03-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-13 | 2018-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-13 | 2018-03-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-13 | 2018-03-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-13 | 2018-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-13 | 2018-03-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-02-13 | 2018-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-13 | 2018-03-31 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-02-13 | 2018-03-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-02-13 | 2018-03-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-13 | 2018-03-31 | N |
