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Deficiency Records for Thunder Care and Rehabilitation
A list of the most recent deficiencies for Thunder Care and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Thunder Care 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-26 | 2024-08-29 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-02-01 | 2024-03-05 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-30 | 2024-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-30 | 2024-03-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-02-23 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-21 | 2024-02-23 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-12-21 | 2024-02-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-21 | 2024-02-23 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-21 | 2024-02-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-21 | 2024-02-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-02-23 | 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 | 2023-12-21 | 2024-02-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-02-23 | Y |
| 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 | 2023-01-10 | 2023-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-10 | 2023-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-10 | 2023-02-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-10 | 2023-02-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-10 | 2023-02-15 | 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 | 2023-01-10 | 2023-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-10 | 2023-02-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-01-10 | 2023-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-15 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-01-10 | 2023-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-10 | 2023-02-15 | Y |
| 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 | 2023-01-10 | 2023-02-15 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-12 | 2023-02-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-17 | 2022-12-19 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-17 | 2022-12-19 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-06-20 | 2022-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-05 | 2022-06-10 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-05 | 2022-06-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-14 | 2022-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-21 | 2021-12-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-21 | 2021-12-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-21 | 2021-12-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-21 | 2021-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-21 | 2021-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-12-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-21 | 2021-12-08 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-10-21 | 2021-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-19 | 2021-12-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-19 | 2021-12-08 | N |
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