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Deficiency Records for Ontario Healthcare Center

A list of the most recent deficiencies for Ontario Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Ontario Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-22 2022-07-07 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-03-02 2022-03-28 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-03-02 2022-03-28 N
Establish policies and procedures including evacuation. Fire Safety 2022-03-02 2022-03-28 N
Establish policies and procedures for volunteers. Fire Safety 2022-03-02 2022-03-28 N
Provide emergency officials' contact information. Fire Safety 2022-03-02 2022-03-28 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2022-03-02 2022-03-28 N
Establish emergency prep training and testing. Fire Safety 2022-03-02 2022-03-28 N
Implement emergency and standby power systems. Fire Safety 2022-03-02 2022-03-28 N
Use approved construction type or materials. Fire Safety 2022-03-02 2022-03-28 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-03-02 2022-03-28 N
Install an approved automatic sprinkler system. Fire Safety 2022-03-02 2022-03-28 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2022-03-02 2022-03-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-02 2022-03-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-02 2022-03-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-02 2022-03-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-02 2022-03-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-02 2022-03-28 N
Have proper medical gas storage and administration areas. Fire Safety 2022-03-02 2022-03-28 N
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. Health 2022-02-14 2022-03-14 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-02-14 2022-03-14 N
Ensure each resident receives an accurate assessment. Health 2022-02-14 2022-03-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-14 2022-03-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-14 2022-03-14 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-14 2022-03-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-14 2022-03-14 N
Dispose of garbage and refuse properly. Health 2022-02-14 2022-03-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-14 2022-03-14 N
Provide and implement an infection prevention and control program. Health 2022-02-14 2022-03-14 N
Perform COVID19 testing on residents and staff. Health 2022-02-14 2022-03-14 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-02-14 2022-03-14 N
Establish policies and procedures for medical documentation. Fire Safety 2019-05-17 2019-06-20 N
Conduct testing and exercise requirements. Fire Safety 2019-05-17 2019-06-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-05-17 2019-06-20 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-05-17 2019-06-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-05-17 2019-06-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-05-17 2019-06-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-05-17 2019-06-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-05-17 2019-06-20 N
Provide and implement an infection prevention and control program. Health 2019-03-29 2019-06-17 N
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. Health 2019-03-29 2019-05-15 N
Ensure each resident receives an accurate assessment. Health 2019-03-29 2019-05-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-29 2019-05-15 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2019-03-29 2019-05-15 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-03-29 2019-05-15 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-05-14 2018-06-07 N
Develop a communication plan. Fire Safety 2018-05-14 2018-06-07 N
Establish emergency prep training and testing. Fire Safety 2018-05-14 2018-06-07 N
Use approved construction type or materials. Fire Safety 2018-05-14 2018-06-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-05-14 2018-06-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-05-14 2018-06-07 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2018-05-14 2018-06-07 N
Provide properly protected cooking facilities. Fire Safety 2018-05-14 2018-06-07 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2018-05-14 2018-06-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-05-14 2018-06-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-05-14 2018-06-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-05-14 2018-06-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-05-14 2018-06-07 N
Ensure each resident receives an accurate assessment. Health 2018-03-15 2018-04-02 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2018-03-15 2018-04-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-03-15 2018-04-02 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2018-03-15 2018-04-02 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2018-03-15 2018-04-02 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-03-15 2018-04-02 N

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