Inspection Results » Twin Oaks Rehab and Nursing

Health Inspection on July 18, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Employ staff that are licensed, certified, or registered in accordance with state laws. (Corrected 2018-08-24)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-08-24)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-24)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-08-24)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-24)
   • Maintain 15 months of resident assessments in the resident's active clinical record. (Corrected 2018-08-24)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-08-24)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-08-24)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-08-24)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-08-24)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-24)