Deficiency Records for Twin Towers
Updated as of June 01, 2023
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? |
---|---|---|---|---|
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 | 2022-11-03 | 2022-12-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-16 | 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 | 2022-10-31 | 2022-12-16 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-31 | 2022-12-16 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-19 | 2021-04-07 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-31 | 2021-04-07 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-31 | 2021-04-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-13 | 2021-02-05 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-01-13 | 2021-02-05 | Y |
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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-04-13 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-05 | 2020-04-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-05 | 2020-04-13 | 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 |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-15 | 2019-03-07 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-15 | 2019-03-07 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-01-15 | 2019-03-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-15 | 2019-03-07 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-01-15 | 2019-03-07 | N |
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2019-01-15 | 2019-03-07 | N |