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Deficiency Records for Our Lady of Wisdom Community Care Center
A list of the most recent deficiencies for Our Lady of Wisdom Community Care 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 Our Lady of Wisdom Community Care 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? |
|---|---|---|---|---|
| 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 | 2024-06-27 | 2024-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-07-19 | N |
| Keep all essential equipment working safely. | Health | 2024-06-27 | 2024-07-19 | 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 | 2024-04-30 | 2024-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-30 | 2024-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-30 | 2024-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-30 | 2024-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-30 | 2024-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-30 | 2024-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-30 | 2024-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-22 | 2024-05-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-06 | 2023-07-04 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-06 | 2023-07-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-07-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-06 | 2023-07-04 | N |
| Post nurse staffing information every day. | Health | 2023-06-06 | 2023-07-04 | 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 | 2023-06-06 | 2023-07-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-06 | 2023-07-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-06 | 2023-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-06 | 2023-07-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-06-06 | 2023-07-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-06 | 2023-07-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-01 | 2023-06-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-11 | 2022-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-11 | 2022-09-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-14 | 2022-08-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-14 | 2022-08-26 | 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 | 2022-07-14 | 2022-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-26 | 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 | 2022-07-14 | 2022-08-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-14 | 2022-08-26 | 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 | 2022-07-14 | 2022-08-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-07-14 | 2022-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-14 | 2022-08-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-14 | 2022-08-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-14 | 2022-08-26 | 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 | 2022-07-14 | 2022-08-26 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-07-14 | 2022-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-14 | 2022-08-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-14 | 2022-08-26 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-07-11 | 2022-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-11 | 2022-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-26 | 2021-12-08 | 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 | 2021-10-26 | 2021-12-08 | Y |
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