A list of the most recent deficiencies for Tlc West Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-14 | 2023-12-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-14 | 2023-12-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-07 | 2023-04-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-07 | 2023-04-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-09 | 2022-06-21 | 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 | 2022-06-09 | 2022-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2021-12-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-09 | 2021-10-10 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-09-12 | 2019-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-12 | 2019-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-10 | 2019-10-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-10 | 2019-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-10 | 2019-10-05 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-09-07 | 2018-10-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-07 | 2018-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-07 | 2018-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-07 | 2018-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-30 | 2018-09-28 | 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 | 2018-08-30 | 2018-09-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-30 | 2018-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-09-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-10 | Not Fixed | N |
