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Deficiency Records for I O O F Home and Community Therapy Center
A list of the most recent deficiencies for I O O F Home and Community Therapy 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 I O O F Home and Community Therapy 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-27 | 2024-04-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-03-21 | 2024-04-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-21 | 2024-04-10 | 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 | 2024-03-21 | 2024-04-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-21 | 2024-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-04-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-03-21 | 2024-04-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-27 | 2024-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-27 | 2024-04-01 | 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 | 2024-03-27 | 2024-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-27 | 2024-03-29 | 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 | 2024-03-27 | 2024-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-27 | 2024-03-28 | 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 | 2023-08-11 | 2023-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-08-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-08-28 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-12-15 | 2023-01-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-15 | 2023-01-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2023-01-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-15 | 2023-01-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-15 | 2023-01-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-12-15 | 2023-01-19 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-12-15 | 2023-01-19 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-12-15 | 2023-01-19 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-15 | 2023-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-19 | Y |
| 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 | 2022-12-16 | 2022-12-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-16 | 2022-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-16 | 2022-12-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-05 | 2022-06-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-05 | 2022-06-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-06-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-05 | 2022-06-20 | 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 | 2022-05-05 | 2022-06-20 | Y |
| 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 | 2022-05-05 | 2022-06-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-05 | 2022-06-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-05 | 2022-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-05-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-03-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-21 | 2021-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-21 | 2021-11-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-21 | 2021-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-21 | 2021-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-21 | 2021-10-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-21 | 2021-10-27 | 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 | 2021-10-21 | 2021-10-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-21 | 2021-10-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-21 | 2021-10-22 | N |
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