Tunnell Skilled Nursing & Rehabilitation Center
Inspection History Overview
Detailed Inspection Reports
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Fines and Penalties by Year
2022 2 penalties totaling $135,009
Fine
Fine
2021 1 penalties totaling $5,769
Fine
2020 1 penalties totaling $10,000
Fine
Health Violations by Year
2025 3 violations
Allow residents to self-administer drugs if determined clinically appropriate.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
2024 16 violations
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide enough food/fluids to maintain a resident's health.
Ensure each residentโs drug regimen must be free from unnecessary drugs.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Respond appropriately to all alleged violations.
Ensure each resident receives an accurate assessment.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
2023 6 violations
Respond appropriately to all alleged violations.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2022 11 violations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Respond appropriately to all alleged violations.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
2021 3 violations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
Report COVID19 data to residents and families.
2020 3 violations
Provide and implement an infection prevention and control program.
Respond appropriately to all alleged violations.
Respond appropriately to all alleged violations.
2019 12 violations
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure medication error rates are not 5 percent or greater.
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.
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide and implement an infection prevention and control program.
2018 3 violations
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate treatment and care according to orders, residentโs preferences and goals.
2017 14 violations
Provide necessary care and services to maintain or improve the highest well being of each resident .
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
Ensure each resident receives an accurate assessment by a qualified health professional.
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide necessary care and services to maintain or improve the highest well being of each resident .
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Store, cook, and serve food in a safe and clean way.
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Have a program that investigates, controls and keeps infection from spreading.
Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Train all employees on what to do in an emergency, and carry out unannounced staff drills.