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Deficiency Records for Optalis Health and Rehabilitation of Allen Park
A list of the most recent deficiencies for Optalis Health and Rehabilitation of Allen Park. 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 Optalis Health and Rehabilitation of Allen Park. 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 each resident has a room at or above ground level. | Health | 2024-07-02 | 2024-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-01 | Y |
| 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 | 2024-07-02 | 2024-08-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-02 | 2024-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-02 | 2024-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-02 | 2024-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-02 | 2024-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-02 | 2024-08-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-07-02 | 2024-08-01 | N |
| Meet other general requirements. | Fire Safety | 2024-06-27 | 2024-07-31 | 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 | 2024-06-27 | 2024-07-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-11 | 2024-04-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-20 | 2024-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-20 | 2024-04-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-30 | 2023-12-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-30 | 2023-12-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-11-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-25 | 2023-11-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-09 | 2023-08-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-09 | 2023-08-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-12 | 2023-08-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-12 | 2023-08-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-07-12 | 2023-08-25 | N |
| Ensure each resident has a room at or above ground level. | Health | 2023-07-12 | 2023-08-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-12 | 2023-08-25 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-07-12 | 2023-08-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-12 | 2023-08-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-10 | 2023-08-25 | 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 | 2023-07-10 | 2023-08-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-10 | 2023-08-25 | 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 | 2023-07-10 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-10 | 2023-08-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-23 | 2023-02-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-11 | 2022-06-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-06-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-12 | 2022-06-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-12 | 2022-06-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-12 | 2022-06-21 | N |
| 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 | 2022-05-12 | 2022-06-21 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-05-12 | 2022-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-21 | N |
| Keep all essential equipment working safely. | Health | 2022-05-12 | 2022-06-21 | N |
| Ensure each resident has a room at or above ground level. | Health | 2022-05-12 | 2022-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-12 | 2022-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-11 | 2022-06-21 | 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 | 2022-05-11 | 2022-06-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-11 | 2022-06-21 | 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 | 2022-05-11 | 2022-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-11 | 2022-06-21 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-10-27 | 2021-11-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-11-26 | Y |
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