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Deficiency Records for Thatcher Brook Rehabilitation and Care Center
View the most recent health deficiencies and inspection results for Thatcher Brook Rehabilitation and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Thatcher Brook Rehabilitation and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-07-23 | 2025-08-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-07-23 | 2025-08-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-23 | 2025-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-23 | 2025-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-23 | 2025-08-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-07-23 | 2025-08-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-23 | 2025-08-18 | 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 | 2025-07-23 | 2025-08-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-07-23 | 2025-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-23 | 2025-08-13 | N |
| Provide activities to meet all resident's needs. | Health | 2025-07-23 | 2025-08-13 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-23 | 2025-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-23 | 2025-08-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-23 | 2025-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-23 | 2025-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-23 | 2025-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-23 | 2025-08-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-23 | 2025-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-27 | 2023-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-27 | 2023-10-19 | 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 | 2023-09-27 | 2023-10-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-27 | 2023-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-27 | 2023-10-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-23 | 2022-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-23 | 2022-08-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-23 | 2022-08-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-23 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-08-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-23 | 2022-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-23 | 2022-08-01 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-23 | 2022-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-23 | 2022-08-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-23 | 2022-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-23 | 2022-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-23 | 2022-08-01 | N |