Deficiency Records for Twilight Gardens Nursing and Rehabilitation
Updated as of February 01, 2022
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? |
---|---|---|---|---|
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-13 | 2022-01-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-04 | 2021-12-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-04 | 2021-12-01 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-04 | 2021-12-01 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 and implement an infection prevention and control program. | Health | 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 | 2021-06-21 | 2021-07-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-21 | 2021-07-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-21 | 2021-07-21 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-21 | 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 | 2021-06-21 | 2021-07-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-21 | 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 | 2021-06-21 | 2021-07-21 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-21 | 2021-07-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-18 | 2021-06-04 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-18 | 2021-06-04 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-03 | 2021-03-24 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-03 | 2021-03-24 | Y |
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 | 2021-03-03 | 2021-03-24 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-03-03 | 2021-03-24 | Y |
Report COVID19 data to residents and families. | Health | 2021-01-06 | 2021-01-14 | N |
Provide and implement an infection prevention and control program. | Health | 2020-10-22 | 2020-11-20 | Y |
Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2020-09-03 | 2020-09-18 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-03 | 2020-09-18 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-05 | 2019-12-12 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-07 | 2019-03-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-15 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-07 | 2019-03-15 | Y |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-02-07 | 2019-03-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-15 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-07 | 2019-03-15 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-05 | 2019-03-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-05 | 2019-03-15 | 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 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 |