Deficiency Records for Twilight Gardens Nursing and Rehabilitation
Updated as of March 01, 2018
This is not the most recent data for Twilight Gardens Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Twilight Gardens Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-01-18 | 2018-02-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-18 | 2018-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-18 | 2018-02-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-01-18 | 2018-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-18 | 2018-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-18 | 2018-02-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-18 | 2018-02-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-01-18 | 2018-02-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-01-18 | 2018-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-18 | 2018-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-01 | 2017-04-07 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-17 | 2016-11-04 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-10-17 | 2016-11-04 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-10-17 | 2016-11-04 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-17 | 2016-11-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-17 | 2016-11-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-20 | 2016-11-04 | 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 | 2016-10-20 | 2016-11-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-03 | 2016-10-20 | Y |
| 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 | 2016-10-03 | 2016-10-20 | Y |
| 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 | 2016-05-06 | 2016-05-13 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-05-06 | 2016-05-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-24 | 2016-05-13 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-24 | 2016-05-13 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-24 | 2016-05-13 | Y |
| Exits that are accessible at all times. | Fire Safety | 2015-07-22 | 2015-08-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-07-23 | 2015-08-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-07-23 | 2015-08-12 | 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 | 2015-07-23 | 2015-08-12 | N |
