A list of the most recent deficiencies for Terrell Healthcare 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? |
---|---|---|---|---|
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 | 2023-12-04 | 2023-12-21 | Y |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-04 | 2023-12-21 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-04 | 2023-12-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2023-12-21 | Y |
Provide or obtain dental services for each resident. | Health | 2023-12-04 | 2023-12-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2023-12-21 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-15 | 2023-01-13 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-15 | 2023-01-13 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-12-15 | 2023-01-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-13 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-15 | 2023-01-13 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-13 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-15 | 2023-01-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-13 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-01-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-10-12 | Y |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-15 | 2021-11-03 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-10-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-14 | 2021-10-15 | 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 | 2021-10-14 | 2021-10-15 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-14 | 2021-10-15 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-12 | 2020-01-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-10 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-12-12 | 2020-01-10 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-12 | 2020-01-10 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-12 | 2020-01-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-12 | 2020-01-10 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-12 | 2020-01-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-11 | 2020-01-10 | N |