Facility profile · CCN 495241
Thalia Gardens Rehabilitation And Nursing
59 federal citations on record .
Record summary
Federal record · Q1 202659
Total citations
12
Last 3 years
3
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
59 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 15, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Aug 15, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Aug 15, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Complaint |
| Aug 15, 2023 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Complaint |
| Aug 15, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Aug 15, 2023 | F584 | 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. | F | Complaint |
| May 10, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| May 10, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| May 10, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| May 10, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| May 10, 2023 | F584 | 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. | D | Complaint |
| May 10, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Jun 9, 2022 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Jun 9, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Jun 9, 2022 | F758 | 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. | D | Standard |
| Jun 9, 2022 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Standard |
| Jun 9, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 9, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Jun 9, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 9, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 9, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Jun 9, 2022 | F584 | 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. | D | Standard |
| Jun 9, 2022 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jun 9, 2022 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Jun 9, 2022 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Jun 9, 2022 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Aug 29, 2019 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard |
| Aug 29, 2019 | F908 | Keep all essential equipment working safely. | F | Standard |
| Aug 29, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 29, 2019 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Aug 29, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 29, 2019 | F758 | 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. | D | Standard |
| Aug 29, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 29, 2019 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| Aug 29, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 29, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 29, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Aug 29, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 29, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 29, 2019 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 29, 2019 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 29, 2019 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard |
| Aug 29, 2019 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | Standard |
| Aug 29, 2019 | F584 | 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. | E | Standard |
| Aug 29, 2019 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Aug 29, 2019 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard |
| Aug 29, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| May 4, 2018 | F761 | 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. | D | Standard |
| May 4, 2018 | F758 | 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. | E | Standard |
| May 4, 2018 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| May 4, 2018 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| May 4, 2018 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| May 4, 2018 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| May 4, 2018 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 4, 2018 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| May 4, 2018 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| May 4, 2018 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| May 4, 2018 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| May 4, 2018 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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