Deficiency Records for Three Rivers Healthcare Center
Updated as of February 01, 2018
This is not the most recent data for Three Rivers Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Three Rivers Healthcare 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-26 | 2017-11-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-26 | 2017-11-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-11-17 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-10-26 | 2017-11-17 | Y |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-04-06 | 2017-05-05 | 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 | 2017-04-06 | 2017-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-06 | 2017-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-06 | 2017-05-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-06 | 2017-05-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-06 | 2017-05-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-06 | 2017-05-05 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-04-06 | 2017-05-05 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-06 | 2017-05-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-07-20 | 2016-08-12 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-20 | 2016-08-12 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-20 | 2016-08-12 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-20 | 2016-08-12 | Y |
| Exits that are accessible at all times. | Fire Safety | 2016-02-03 | 2016-03-21 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-03 | 2016-03-21 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-04 | 2016-03-21 | N |
| Provide housekeeping and maintenance services. | Health | 2016-02-04 | 2016-03-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-04 | 2016-03-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-04 | 2016-03-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-04 | 2016-03-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-04-01 | 2015-04-02 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-10-28 | 2014-12-16 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-10-28 | 2014-12-16 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-10-28 | 2014-12-16 | N |
| Provide housekeeping and maintenance services. | Health | 2014-11-04 | 2014-12-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-04 | 2014-12-16 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-11-04 | 2014-12-16 | N |
| Provide or obtain dental services for each resident. | Health | 2014-11-04 | 2014-12-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-11-04 | 2014-11-04 | N |
