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Deficiency Records for Twilight Gardens Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for Twilight Gardens Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Twilight Gardens Nursing and Rehabilitation. Stay informed about quality of care issues.
| 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 | 2026-01-22 | 2026-02-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-24 | 2025-05-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-24 | 2025-05-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-05-29 | 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 | 2025-04-24 | 2025-05-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-24 | 2025-05-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-04-24 | 2025-05-29 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-10-19 | 2023-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-12-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-19 | 2023-12-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-19 | 2023-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-12-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-19 | 2023-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-19 | 2023-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-19 | 2023-12-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-19 | 2023-12-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-12-07 | 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 | 2023-10-19 | 2023-12-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-14 | 2023-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-22 | 2021-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-22 | 2021-07-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-22 | 2021-07-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-22 | 2021-07-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-22 | 2021-07-21 | N |