Deficiency Records for Treyburn Rehabilitation Center
Updated as of August 01, 2021
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 pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-16 | 2020-11-16 | Y |
Ensure that residents are free from significant medication errors. | Health | 2020-07-30 | 2020-08-11 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2020-03-04 | 2020-03-25 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-03-25 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-04 | 2020-03-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-04 | 2020-03-25 | N |
Establish staff and initial training requirements. | Fire Safety | 2020-02-14 | 2020-03-13 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-02-14 | 2020-03-13 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-14 | 2020-03-13 | 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 | 2020-02-14 | 2020-03-13 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-14 | 2020-03-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-14 | 2020-03-13 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-14 | 2020-03-13 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-14 | 2020-03-13 | Y |
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 | 2020-02-14 | 2020-03-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-14 | 2020-03-13 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-14 | 2020-03-13 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-14 | 2020-03-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-14 | 2020-03-13 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-17 | 2019-05-23 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-04-17 | 2019-05-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-17 | 2019-05-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-17 | 2019-05-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-03-14 | 2019-04-09 | 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 | 2019-03-14 | 2019-04-09 | N |
Keep all essential equipment working safely. | Health | 2019-03-14 | 2019-04-09 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-11-11 | 2018-12-06 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-11 | 2018-12-05 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-11 | 2018-12-05 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-11 | 2018-12-05 | 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 |