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Deficiency Records for Otterbein Franklin Seniorlife Comm Res and Com Care
A list of the most recent deficiencies for Otterbein Franklin Seniorlife Comm Res and Com Care. 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 Otterbein Franklin Seniorlife Comm Res and Com Care. 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? |
|---|---|---|---|---|
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2024-08-07 | 2024-09-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Develop a communication plan. | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-07 | 2024-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-31 | 2024-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-31 | 2024-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-31 | 2024-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | 2024-08-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-26 | 2023-10-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-01 | 2023-09-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-01 | 2023-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-17 | 2023-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-09 | 2023-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-09 | 2023-02-03 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-23 | 2022-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-28 | 2022-11-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-28 | 2022-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-28 | 2022-11-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-28 | 2022-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-08-01 | Y |
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