A list of the most recent deficiencies for Tulip Special Care, LLC. 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 | 2023-12-21 | 2024-02-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-21 | 2024-02-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-02-19 | 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 | 2023-12-21 | 2024-02-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-21 | 2024-02-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-02 | 2024-02-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-21 | 2023-10-07 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-24 | 2023-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-24 | 2023-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-04-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-24 | 2023-04-24 | 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 | 2023-02-24 | 2023-04-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-24 | 2023-04-24 | 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 | 2023-02-24 | 2023-04-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-24 | 2023-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-24 | 2023-04-24 | N |
| Keep all essential equipment working safely. | Health | 2023-02-24 | 2023-04-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-02 | 2023-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-04-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-14 | 2023-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-08-25 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-04 | 2022-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-04 | 2022-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-04 | 2022-07-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-04 | 2022-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-04-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-08 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-04-29 | Y |
| 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 | 2022-04-08 | 2022-04-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-08 | 2022-04-29 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-04 | 2022-04-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-04-04 | 2022-04-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-04 | 2022-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-04 | 2022-04-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-04 | 2022-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-04 | 2022-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-04 | 2022-04-23 | 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 | 2022-03-25 | 2022-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-25 | 2022-04-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-25 | 2022-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-25 | 2022-04-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-25 | 2022-04-11 | 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 | 2022-03-25 | 2022-04-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-25 | 2022-04-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-03-25 | 2022-04-11 | 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 | 2022-03-25 | 2022-04-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-03-25 | 2022-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-25 | 2022-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-25 | 2022-04-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-25 | 2022-04-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-25 | 2022-04-11 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-25 | 2022-04-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-04 | 2021-06-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-07 | Not Fixed | Y |
