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Deficiency Records for Transcendent Healthcare of Owensville
A list of the most recent deficiencies for Transcendent Healthcare of Owensville. 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 Transcendent Healthcare of Owensville. 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 | 2024-06-25 | 2024-07-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Develop a communication plan. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-30 | 2024-05-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-02 | 2024-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-02 | 2024-04-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-02 | 2024-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-02 | 2024-04-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-02 | 2024-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-02 | 2024-04-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-02 | 2024-04-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-02 | 2024-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-02 | 2024-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-02 | 2024-04-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-02 | 2024-04-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-02 | 2024-04-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-02 | 2024-04-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-02 | 2024-04-26 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-08-15 | 2023-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-09 | 2023-05-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-27 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-08-25 | 2022-09-19 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-05-20 | 2022-06-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-20 | 2022-06-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Develop a communication plan. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Meet other general requirements. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-14 | 2021-07-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-09 | 2021-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-09 | 2021-07-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-09 | 2021-07-09 | 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 | 2021-06-09 | 2021-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-07-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-09 | 2021-07-09 | N |
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