TULIA SENIOR LIVING LLC

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on common behaviors and communications associated with a resident with Alzheimer's disease and related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to require a staff member who provides personal care services to complete required training prior to performing personal care services.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to meet the requirements related to staff training for employees who provide direct care to a resident with Alzheimer's disease or a related disorder.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to conduct criminal history checks of employees and applicants.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to search the NAR and EMR annually.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to list each resident's medications on a specific medication profile record documenting the required medication details (e.g., strength and dosage).

Health VisitCited Mar 25, 2025Corrected —

The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to follow its policies regarding the screening of residents upon admission and after exposure to tuberculosis.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to have evidence showing that the manager completed the required 12 hours of annual continuing education.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on Alzheimer's disease and related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on provision of person-centered care.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on assessment and care planning.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on activities of daily living for a resident with Alzheimer's disease or a related disorder.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on common behaviors and communications associated with residents with Alzheimer's disease or related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on administrative support services related to information for comorbidities management, care planning, provision of medically appropriate education, and including person-centered care to residents with Alzheimer's disease or related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on staffing requirements that will facilitate collaboration and ensure each staff member obtains appropriate informational materials and training.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on establishing a supportive and therapeutic environment for residents with Alzheimer's disease or related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility manager failed to complete four hours of training and pass a competency-based evaluation on transitioning care and coordination of services for residents with Alzheimer's disease or related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on Alzheimer's disease and related disorders.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on provision of person-centered care.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on assessment and care planning.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to require a staff member who provides personal care to complete four hours of training and pass a competency-based evaluation on activities of daily living for a resident with Alzheimer's disease or a related disorder.

Health VisitCited Mar 25, 2025Corrected —

The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.

Life Safety CodeCited Dec 1, 2020Corrected Dec 10, 2020

The facility failed to provide an initial gas pressure test of the gas lines from the meter; and/or failed to ensure additional gas pressure tests were performed when gas service was interrupted; and/or that all gas heating systems were documented

Life Safety CodeCited Dec 1, 2020Corrected Dec 26, 2020

The facility failed to implement procedures that assure safe and sanitary use and storage of oxygen.

Life Safety CodeCited Dec 1, 2020Corrected Dec 3, 2020

The facility failed to ensure that portable extinguishers were installed or mounted as required.

Life Safety CodeCited Dec 1, 2020Corrected Dec 10, 2020

The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.

Life Safety CodeCited Dec 1, 2020Corrected Dec 10, 2020

The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

Life Safety CodeCited Dec 1, 2020Corrected Dec 16, 2020

The facility failed to provide the required emergency preparedness and response plan training and conduct drills.

Life Safety CodeCited Dec 1, 2020Corrected Dec 16, 2020

The facility failed to provide a site and/or building free of fire, health, or physical hazards.

Life Safety CodeCited Dec 1, 2020Corrected Dec 12, 2020

The facility failed to provide a written contract with a fire alarm firm to perform inspections, testing, and system maintenance at least every six months.

Life Safety CodeCited Dec 1, 2020Corrected Dec 10, 2020

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

Life Safety CodeCited Dec 1, 2020Corrected Dec 10, 2020