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Deficiency Records for Osage Nursing and Rehabilitation Center
A list of the most recent deficiencies for Osage Nursing and Rehabilitation 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 Osage Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-06-05 | 2023-06-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-25 | 2023-02-27 | 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 | 2023-01-25 | 2023-02-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-25 | 2023-02-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2023-01-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-08 | 2023-01-07 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-08 | 2023-01-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-08 | 2023-01-07 | Y |
| 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 | 2022-12-08 | 2023-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-07 | Y |
| 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 | 2022-12-08 | 2023-01-07 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-08 | 2023-01-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-08 | 2023-01-07 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-12-08 | 2023-01-07 | Y |
| 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 | 2022-12-08 | 2023-01-07 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-12-08 | 2023-01-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-09 | 2021-07-09 | 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 | 2021-06-09 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-09 | 2021-06-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-09 | 2021-06-09 | 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 | 2021-04-28 | 2021-05-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-22 | 2019-08-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-10 | 2019-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-10 | 2019-07-31 | 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 | 2019-07-10 | 2019-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-10 | 2019-07-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-10 | 2019-07-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-10 | 2019-07-31 | N |
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