A list of the most recent deficiencies for Tahoe Forest Hospital D/p Snf. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-27 | 2023-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-03 | 2023-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-03 | 2023-08-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-13 | 2021-06-02 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-26 | 2019-11-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-26 | 2019-11-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-26 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-11-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-30 | 2019-10-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-30 | 2019-10-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-09-30 | 2019-10-14 | N |
| Develop a communication plan. | Fire Safety | 2018-10-17 | 2018-10-29 | 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 | 2018-10-17 | 2018-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-17 | 2018-10-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-13 | 2018-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-13 | 2018-10-04 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-13 | 2018-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-04 | N |
