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Deficiency Records for Twinbrook Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Twinbrook Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Twinbrook Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-16 | 2026-05-08 | 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 | 2026-04-16 | 2026-05-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-04-16 | 2026-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-04-16 | 2026-05-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-04-16 | 2026-05-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-04-16 | 2026-05-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-10 | 2026-04-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-10 | 2026-04-08 | Y |
| Post nurse staffing information every day. | Health | 2026-02-12 | 2026-03-20 | 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 | 2026-02-12 | 2026-03-20 | 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 | 2025-06-12 | 2025-07-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-25 | 2025-05-30 | N |
| 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 | 2025-04-25 | 2025-05-30 | 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 | 2025-04-25 | 2025-05-30 | N |
| 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 | 2025-04-25 | 2025-05-30 | Y |
| Post nurse staffing information every day. | Health | 2025-04-25 | 2025-05-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-25 | 2025-05-30 | 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 | 2025-04-25 | 2025-05-30 | 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 | 2025-04-25 | 2025-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-25 | 2025-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-25 | 2025-05-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2025-04-25 | 2025-05-09 | N |
| Use approved construction type or materials. | Fire Safety | 2025-04-25 | 2025-05-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-04-25 | 2025-05-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-25 | 2025-05-09 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-04-25 | 2025-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-23 | 2025-01-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-12-23 | 2025-01-20 | 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 | 2024-12-23 | 2025-01-20 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-10-24 | 2024-12-03 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-17 | 2024-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-17 | 2024-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-17 | 2024-07-14 | 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 | 2024-05-17 | 2024-07-14 | N |
| Meet other general requirements. | Fire Safety | 2024-05-17 | 2024-07-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-17 | 2024-07-02 | 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 | 2024-05-17 | 2024-07-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-17 | 2024-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-17 | 2024-07-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-17 | 2024-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-17 | 2024-07-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-17 | 2024-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-17 | 2024-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-16 | Not Fixed | 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 | 2026-04-16 | Not Fixed | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2026-04-16 | Not Fixed | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2026-04-16 | Not Fixed | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-04-16 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-16 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-16 | Not Fixed | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-04-16 | Not Fixed | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-16 | Not Fixed | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-04-16 | Not Fixed | N |