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Deficiency Records for Ojai Health and Rehabilitation
A list of the most recent deficiencies for Ojai Health and Rehabilitation. 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 Ojai Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-11 | 2024-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-31 | 2024-02-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-19 | 2023-11-19 | 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 | 2023-10-19 | 2023-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-19 | 2023-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-24 | 2023-11-17 | 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 | 2023-10-24 | 2023-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-24 | 2023-11-17 | 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 | 2023-10-24 | 2023-11-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-06 | 2023-04-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-22 | 2022-11-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-22 | 2022-11-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-11-22 | 2022-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-25 | 2022-06-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-25 | 2022-06-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-14 | 2022-01-31 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-12-14 | 2022-01-31 | Y |
| 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. | Health | 2021-10-12 | 2021-10-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-21 | 2021-09-13 | 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 | 2021-07-21 | 2021-09-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-21 | 2021-09-13 | N |
| 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. | Health | 2021-07-15 | 2021-08-13 | N |
| 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. | Health | 2021-07-15 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-13 | N |
| 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. | Health | 2021-07-15 | 2021-08-13 | N |
| Use approved construction type or materials. | Fire Safety | 2020-07-29 | 2020-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-07-29 | 2020-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-07-29 | 2020-08-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-07-29 | 2020-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-29 | 2020-08-10 | 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 | 2020-03-13 | 2020-04-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-13 | 2020-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-13 | 2020-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-13 | 2020-04-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-13 | 2020-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-13 | 2020-04-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-13 | 2020-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-13 | 2020-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-13 | 2020-04-12 | N |
| 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. | Health | 2020-03-13 | 2020-04-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-13 | 2020-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-13 | 2020-04-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-13 | 2020-04-12 | N |
| 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. | Health | 2020-03-13 | 2020-04-12 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-03-13 | 2020-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-13 | 2020-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-13 | 2020-04-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-03-13 | 2020-04-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-03-13 | 2020-04-10 | N |
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