Deficiency Records for Twin Towers
Updated as of January 01, 2021
This is not the most recent data for Twin Towers. For the most recent information, click here.
A list of the most recent deficiencies for Twin Towers. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-07-13 | 2020-08-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-05 | 2020-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-05 | 2020-04-13 | 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 | 2020-03-05 | 2020-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-10 | 2019-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-10 | 2019-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-10 | 2019-07-10 | Y |
| 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 | 2019-05-14 | 2019-06-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-15 | 2019-03-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-01-16 | 2019-03-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-16 | 2019-03-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-16 | 2019-03-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-01-16 | 2019-03-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-01-16 | 2019-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-16 | 2019-03-07 | N |
| 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 | 2019-01-16 | 2019-03-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-01-16 | 2019-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-03-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-01-16 | 2019-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-11-14 | 2018-01-05 | 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 | 2017-11-14 | 2018-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-11-14 | 2018-01-05 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-11-16 | 2018-01-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-16 | 2018-01-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-11-16 | 2018-01-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-16 | 2018-01-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-16 | 2018-01-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-11-16 | 2018-01-05 | N |
