Deficiency Records for Tucker House Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Tucker House Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| 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 | 2024-02-07 | 2024-03-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-02-07 | 2024-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-07 | 2024-03-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-02-07 | 2024-03-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-02-07 | 2024-03-20 | 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 | 2024-01-31 | 2024-03-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-31 | 2024-03-18 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-31 | 2024-03-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-31 | 2024-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-03-18 | N |
| 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 | 2024-01-31 | 2024-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-31 | 2024-03-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-01-31 | 2024-03-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-31 | 2024-03-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-31 | 2024-03-18 | 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 | 2024-01-31 | 2024-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-31 | 2024-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-25 | 2023-12-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-25 | 2023-12-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-25 | 2023-12-04 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-25 | 2023-12-04 | 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 | 2023-10-16 | 2023-11-03 | 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 | 2023-10-16 | 2023-11-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-16 | 2023-11-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-16 | 2023-11-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-28 | 2023-10-02 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-28 | 2023-10-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-28 | 2023-10-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-12 | 2023-08-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-06 | 2023-08-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-08-14 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-07-06 | 2023-08-14 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-06 | 2023-08-14 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-07-06 | 2023-08-14 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-26 | 2023-05-26 | 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 | 2023-04-26 | 2023-05-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-26 | 2023-05-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-04-03 | 2023-05-22 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-04-03 | 2023-05-22 | 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 | 2023-04-03 | 2023-05-22 | 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 | 2023-04-03 | 2023-05-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-04-03 | 2023-05-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-03 | 2023-05-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-03 | 2023-05-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-03 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-03 | 2023-05-22 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-04-03 | 2023-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-03 | 2023-05-22 | N |
| 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 | 2023-04-03 | 2023-05-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-03 | 2023-05-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-04-03 | 2023-05-22 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-04-03 | 2023-05-22 | 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 | 2023-04-03 | 2023-05-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-03 | 2023-05-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-04-03 | 2023-05-22 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-04-03 | 2023-05-22 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-04-03 | 2023-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-03 | 2023-05-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-03 | 2023-05-22 | N |
| Keep all essential equipment working safely. | Health | 2023-04-03 | 2023-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-07 | 2023-03-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-14 | 2022-08-31 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-08 | 2022-08-24 | N |
| Meet other general requirements. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-08 | 2022-07-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-08 | 2022-07-31 | 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 | 2022-05-20 | 2022-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-20 | 2022-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-06-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-20 | 2022-06-28 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-05-20 | 2022-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-20 | 2022-06-28 | N |
| Dispose of garbage and refuse properly. | Health | 2022-05-20 | 2022-06-28 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-05-20 | 2022-06-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-20 | 2022-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-30 | 2021-08-09 | Y |
