CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Treyburn Rehabilitation Center
View the most recent health deficiencies and inspection results for Treyburn Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Treyburn Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2025-03-20 | 2025-06-30 | 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 | 2025-03-20 | 2025-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-20 | 2025-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-20 | 2025-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-20 | 2025-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-20 | 2025-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-20 | 2025-06-30 | N |
| Use approved construction type or materials. | Fire Safety | 2025-03-20 | 2025-06-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-06 | 2024-11-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-19 | 2024-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-19 | 2024-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-19 | 2024-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-19 | 2024-07-08 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-29 | 2024-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-29 | 2024-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-05-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-29 | 2024-05-07 | 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 | 2024-02-29 | 2024-05-07 | 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 | 2024-02-29 | 2024-03-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-29 | 2024-03-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-29 | 2024-03-27 | 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 | 2024-02-29 | 2024-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-29 | 2024-03-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-11 | 2023-09-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-11 | 2023-09-01 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-30 | 2023-06-23 | 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 | 2023-03-30 | 2023-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-30 | 2023-06-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-30 | 2023-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-04-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-30 | 2023-04-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-30 | 2023-04-27 | 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 | 2023-03-30 | 2023-04-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-30 | 2023-04-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-30 | 2023-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-04-27 | 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 | 2023-03-30 | 2023-04-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-30 | 2023-04-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-30 | 2023-04-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-30 | 2023-04-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-30 | 2023-04-27 | N |