Thalia Gardens Rehabilitation and Nursing

Red flags

Inspection citations (72 in the current record)

• Potential for harm · E April 28, 2026

  Reasonably accommodate the needs and preferences of each resident.

  Deficient, Provider has no plan of correction · Resident Rights

• Potential for harm · D April 28, 2026

  Give residents a notice of rights, rules, services and charges.

  Deficient, Provider has no plan of correction · Resident Rights

• Potential for harm · D April 28, 2026

  The resident has the right to receive notices in a format and a language he or she understands.

  Deficient, Provider has no plan of correction · Resident Rights

• Potential for harm · E April 28, 2026

  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  Deficient, Provider has no plan of correction · Resident Rights

• Potential for harm · D April 28, 2026

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Deficient, Provider has no plan of correction · Resident Rights

• Potential for harm · D April 28, 2026

  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  Deficient, Provider has no plan of correction · Resident Rights

• Potential for harm · D April 28, 2026

  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

• Potential for harm · D April 28, 2026

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

• Potential for harm · D April 28, 2026

  Ensure each resident receives an accurate assessment.

  Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

• Potential for harm · E April 28, 2026

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

• Potential for harm · D April 28, 2026

  Provide safe and appropriate respiratory care for a resident when needed.

  Deficient, Provider has no plan of correction · Quality of Life and Care

• Potential for harm · E April 28, 2026

  Post nurse staffing information every day.

  Deficient, Provider has no plan of correction · Nursing and Physician Services

• Potential for harm · E April 28, 2026

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Deficient, Provider has no plan of correction · Pharmacy Service

• Potential for harm · F April 28, 2026

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Deficient, Provider has no plan of correction · Pharmacy Service

• Potential for harm · D April 28, 2026

  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.

  Deficient, Provider has no plan of correction · Pharmacy Service

• Potential for harm · F April 28, 2026

  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · F April 28, 2026

  Have a plan that describes the process for conducting QAPI and QAA activities.

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · F April 28, 2026

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · E April 28, 2026

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · F April 28, 2026

  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Deficient, Provider has no plan of correction · Infection Control

• Potential for harm · E April 28, 2026

  Make sure that a working call system is available in each resident's bathroom and bathing area.

  Deficient, Provider has no plan of correction · Environmental

• Potential for harm · E April 28, 2026

  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · F April 28, 2026

  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · F April 28, 2026

  Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Deficient, Provider has no plan of correction · Administration

• Potential for harm · E April 28, 2026 · found via complaint

  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  Deficient, Provider has no plan of correction · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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