Deficiency Records for Town and Country Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Town and Country 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-05 | 2023-10-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-10-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2023-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-01 | 2023-08-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-01 | 2023-08-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-01 | 2023-08-25 | Y |
| Post nurse staffing information every day. | Health | 2023-08-16 | 2023-08-23 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-16 | 2023-08-23 | 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 | 2023-02-10 | 2023-02-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-10 | 2023-02-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-10 | 2023-02-11 | 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 | 2023-02-10 | 2023-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-02-11 | 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 | 2023-02-10 | 2023-02-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-08 | 2023-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-02-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-08 | 2023-02-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-08 | 2023-02-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-15 | 2022-01-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-15 | 2022-01-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-15 | 2022-01-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-15 | 2022-01-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-15 | 2022-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-15 | 2022-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-17 | 2021-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-17 | 2021-12-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-09-11 | 2020-10-09 | 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 | 2020-09-11 | 2020-10-09 | 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 | 2020-09-11 | 2020-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-11 | 2020-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-11 | 2020-10-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| 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 | 2020-09-10 | 2020-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-10 | 2020-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-10 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-10 | Not Fixed | N |
