Deficiency Records for Tsali Care Center
Updated as of February 01, 2019
This is not the most recent data for Tsali Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Tsali Care 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-18 | 2019-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2019-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2019-01-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-18 | 2018-11-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-18 | 2018-11-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-18 | 2018-11-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-10-18 | 2018-11-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-18 | 2018-11-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-18 | 2018-11-17 | 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 | 2018-10-18 | 2018-11-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-18 | 2018-11-17 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2018-10-18 | 2018-11-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-10-18 | 2018-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-01 | 2018-01-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-01 | 2018-01-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-01 | 2018-01-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-01 | 2018-01-01 | 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 | 2017-12-01 | 2018-01-01 | N |
| Provide activities to meet all resident's needs. | Health | 2017-12-01 | 2018-01-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-01 | 2018-01-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-01 | 2018-01-01 | 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 | 2017-12-01 | 2018-01-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2017-12-01 | 2018-01-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-01 | 2018-01-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-01 | 2018-01-01 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2017-12-01 | 2018-01-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-01 | 2018-01-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2017-12-01 | 2018-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-01 | 2018-01-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2017-12-01 | 2018-01-01 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-12-01 | 2018-01-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-01 | 2018-01-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-01 | 2018-01-01 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2017-12-01 | 2018-01-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2017-12-01 | 2018-01-01 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2017-12-01 | 2018-01-01 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2016-11-29 | 2016-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-29 | 2016-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-29 | 2016-12-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-11-29 | 2016-12-28 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-12-02 | 2016-12-28 | N |
| 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 | 2016-12-02 | 2016-12-28 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-02 | 2016-12-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2016-12-02 | 2016-12-28 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-02 | 2016-12-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-02 | 2016-12-28 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-12-02 | 2016-12-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-12-02 | 2016-12-28 | N |
