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Deficiency Records for Tekakwitha Living Center
View the most recent health deficiencies and inspection results for Tekakwitha Living Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tekakwitha Living Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-22 | 2026-03-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2026-01-22 | 2026-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-22 | 2026-03-08 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-01-22 | 2026-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-22 | 2026-03-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2026-01-22 | 2026-03-08 | 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 | 2026-01-22 | 2026-03-08 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-01-22 | 2026-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-22 | 2026-03-08 | 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 | 2026-01-22 | 2026-03-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2026-01-22 | 2026-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-22 | 2026-03-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-01-22 | 2026-03-01 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2026-01-22 | 2026-01-22 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2026-01-22 | 2026-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-18 | 2025-08-02 | 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 | 2025-06-18 | 2025-08-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-18 | 2025-08-02 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-18 | 2024-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-18 | 2024-08-15 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2024-07-18 | 2024-08-15 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2024-07-18 | 2024-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-14 | 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 | 2024-07-18 | 2024-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-18 | 2024-08-14 | 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 | 2024-07-18 | 2024-08-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-07-18 | 2024-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-14 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-18 | 2024-08-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-10 | 2024-02-24 | 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 | 2024-01-10 | 2024-02-24 | Y |
| 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 | 2023-06-01 | 2023-07-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-01 | 2023-07-16 | 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 | 2023-06-01 | 2023-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-01 | 2023-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-07-16 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2023-06-01 | 2023-06-01 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2023-06-01 | 2023-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-01 | 2023-06-01 | 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 | 2023-06-01 | 2023-06-01 | N |