A list of the most recent deficiencies for Thompson House Nursing Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-20 | 2023-11-01 | N |
| 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 | 2023-09-20 | 2023-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-20 | 2023-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-28 | 2023-03-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-28 | 2023-03-03 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-27 | 2022-12-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-27 | 2022-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-27 | 2022-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-14 | 2022-10-14 | 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 | 2022-09-14 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-08-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-21 | 2021-08-27 | 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 | 2021-07-21 | 2021-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-19 | 2021-08-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-19 | 2021-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-19 | 2021-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-19 | 2021-07-22 | N |
