Deficiency Records for Treyburn Rehabilitation Center
Updated as of December 01, 2018
This is not the most recent data for Treyburn Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Treyburn Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-01 | 2018-06-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-18 | 2018-06-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-18 | 2018-06-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-18 | 2018-04-23 | 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 | 2018-04-18 | 2018-04-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-19 | 2018-04-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-19 | 2018-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-19 | 2018-04-10 | 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 | 2018-03-19 | 2018-04-10 | N |
| Keep all essential equipment working safely. | Health | 2018-03-19 | 2018-04-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-02-25 | 2018-03-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-20 | 2018-02-17 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-26 | 2017-08-09 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-26 | 2017-08-09 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-26 | 2017-08-09 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-05-02 | 2017-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-02 | 2017-06-07 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-05-02 | 2017-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-02 | 2017-06-07 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-30 | 2017-04-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-30 | 2017-04-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-30 | 2017-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-30 | 2017-04-27 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-03-30 | 2017-04-27 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-03-30 | 2017-04-27 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-03-30 | 2017-04-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-16 | 2017-03-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-16 | 2017-03-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-01 | 2017-03-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-02-01 | 2017-03-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-01 | 2017-03-01 | Y |
| Approved construction type or materials. | Fire Safety | 2016-05-10 | 2016-06-10 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-05-10 | 2016-06-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-14 | 2016-05-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-14 | 2016-05-11 | Y |
