A list of the most recent deficiencies for Thornwald Home. 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 each resident receives an accurate assessment. | Health | 2023-02-23 | 2023-04-04 | 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 | 2023-02-23 | 2023-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-23 | 2023-04-04 | 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 | 2023-02-23 | 2023-04-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-23 | 2023-04-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-23 | 2023-04-04 | 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 | 2023-02-23 | 2023-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-07 | 2023-02-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-10 | 2022-03-14 | 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 | 2022-02-10 | 2022-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-10 | 2022-03-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-10 | 2022-03-14 | 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 | 2022-02-10 | 2022-03-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-14 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-23 | 2022-03-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-11 | 2021-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-11 | 2021-03-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-02-17 | 2021-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-17 | 2021-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-17 | 2021-02-26 | N |
