A list of the most recent deficiencies for Twilight 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-06 | 2023-10-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-06 | 2023-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-10-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-20 | 2023-07-07 | Y |
| 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 | 2023-05-16 | 2023-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-09 | 2023-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-02 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-10 | N |
| 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 | 2021-11-04 | 2021-11-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-04 | 2021-11-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
| Establish methods for sharing information. | Fire Safety | 2019-03-20 | 2019-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-03-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-21 | 2019-03-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-21 | 2019-03-26 | N |
| 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 | 2019-03-21 | 2019-03-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-16 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-20 | Not Fixed | N |
