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Deficiency Records for Town Hall Estates
View the most recent health deficiencies and inspection results for Town Hall Estates. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Town Hall Estates. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-06 | 2025-12-08 | 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 | 2025-09-06 | 2025-12-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-09-06 | 2025-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-06 | 2025-09-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-06 | 2025-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-06 | 2025-09-28 | 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 | 2025-09-06 | 2025-09-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-06 | 2025-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-06 | 2025-09-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-09-06 | 2025-09-28 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-06 | 2025-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-06 | 2025-09-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-06 | 2025-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-18 | 2025-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-07 | 2025-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-07 | 2025-04-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-27 | 2025-02-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-27 | 2025-02-27 | N |
| 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 | 2024-06-27 | 2025-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-14 | 2024-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-29 | 2024-09-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-27 | 2024-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-27 | 2024-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-27 | 2024-06-30 | N |
| Post nurse staffing information every day. | Health | 2024-06-27 | 2024-06-30 | 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 | 2024-06-27 | 2024-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-06-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-14 | 2023-08-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-14 | 2023-08-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-14 | 2023-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-14 | 2023-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-14 | 2023-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-08-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-14 | 2023-08-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-14 | 2023-08-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-14 | 2023-08-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-14 | 2023-08-03 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-06-14 | 2023-08-03 | N |
| 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 | 2023-06-14 | 2023-07-28 | 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 | 2023-06-14 | 2023-07-28 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-14 | 2023-07-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-14 | 2023-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-14 | 2023-07-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-14 | 2023-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-14 | 2023-06-18 | N |
| Provide appropriate foot care. | Health | 2023-06-14 | 2023-06-15 | N |