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Tunnell Center For Rehabilitation And Healthcare
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817259145
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(Provided by Gilbert Guide's on-site reviewer)
The Tunnell Center, formerly known as the Nob Hill Healthcare Center, located near St. Francis Hospital, is a bustling facility focused primarily on short-term rehabilitative care. Nob Hill is part of a national network of long-term care providers who specialize in a full range of care. A professional team develops a comprehensive treatment plan in conjunction with the patient's physician. Respite care is available to help families take much-needed breaks. Special care is offered for dementia clients, including twenty-four-hour visitation and guest meals.
There might be as many as five rehabilitation specialists working at one time in the treatment center. A full range of therapies is provided including physical, occupational and speech; optometry, podiatry, and art and music therapy are offered as well. Dental and x-ray services are on-site. Counseling, crisis intervention and spiritual support are available as needed. Adding to this unique array of services are money management, discharge planning, nutritionist, and dieticians. It is truly a full-service facility.
The building was recently renovated, and boasts state-of-the-art features that are as aesthetically pleasing as they are functional and convenient. The furniture is new, as are the carpeting and wallpaper, which create color-coordinated rooms that are pleasing to the eye. The dining area is pleasant and inviting. The menu features mainly Asian choices, and lots of vegetables. A salad bar is available with meals. Substitutions can be made. Each floor has a common room, filled with books, a TV, VCR, radio, ice maker and microwave oven, for rest and recreation. A large terrace is comfortably furnished.
Besides the usual choice of activity of arts, crafts, music and games, Nob Hill Healthcare Center has a holistic activity program which offers guided mediation, stress and pain reduction, aromatherapy and massage. The staff brings in pets from time to time, for pet therapy, which the residents thoroughly enjoy.
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 01/02/2008 Fire Safety Survey for Tunnell Center For Rehabilitation And Healthcare
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Widespread | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Isolated | Minimal harm or potential for actual harm |
| restrictions on the use of highly flammable materials. | Isolated | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper medical gas storage and administration areas. | Isolated | Minimal harm or potential for actual harm |
- 12/20/2007 Health Survey for Tunnell Center For Rehabilitation And Healthcare
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Train all employees on what to do in an emergency. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Pattern | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Protect residents from mistreatment, neglect, and/or theft of personal property. | Pattern | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Pattern | Minimal harm or potential for actual harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Pattern | Potential for minimal harm |
- 03/28/2007 Fire Safety Survey for Tunnell Center For Rehabilitation And Healthcare
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Pattern | Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | Pattern | Potential for minimal harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Pattern | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Pattern | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper medical gas storage and administration areas. | Pattern | Potential for minimal harm |
| Vertical Openings | ||
| Deficiency | Scope | Level of Harm |
| exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors. | Isolated | Minimal harm or potential for actual harm |
- 03/21/2007 Health Survey for Tunnell Center For Rehabilitation And Healthcare
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Keep accurate and appropriate medical records. | Pattern | Potential for minimal harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Pattern | Minimal harm or potential for actual harm |
| Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Isolated | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents are safe from serious medication errors. | Isolated | Minimal harm or potential for actual harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Pattern | Minimal harm or potential for actual harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm |
- 12/20/2005 Fire Safety Survey for Tunnell Center For Rehabilitation And Healthcare
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly constructed linen or trash chutes. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Widespread | Potential for minimal harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Pattern | Potential for minimal harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| properly maintained smoke detectors. | Pattern | Minimal harm or potential for actual harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Pattern | Potential for minimal harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| exits that are free from obstructions and can be used at all times. | Widespread | Potential for minimal harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Pattern | Potential for minimal harm |
- 12/08/2005 Health Survey for Tunnell Center For Rehabilitation And Healthcare
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Keep a resident apart from the others if the resident has an infection that can spread. | Isolated | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is free of dangers that cause accidents. | Widespread | Potential for minimal harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
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