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Deficiency Records for Mount Olivet Home
A list of the most recent deficiencies for Mount Olivet Home. 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 Mount Olivet Home. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-27 | 2024-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-08-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-27 | 2024-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-27 | 2024-08-22 | 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 | 2024-06-27 | 2024-08-22 | 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 | 2024-06-27 | 2024-08-22 | 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 | 2024-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-08-22 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-06-25 | 2024-08-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-06-25 | 2024-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-25 | 2024-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-25 | 2024-08-19 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-06-25 | 2024-08-19 | 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 | 2023-08-10 | 2023-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-09 | 2023-09-29 | 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 | 2023-08-09 | 2023-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-09 | 2023-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-09 | 2023-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-09 | 2023-09-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-09 | 2023-09-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-09 | 2023-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-09 | 2023-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-21 | 2021-12-31 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-21 | 2021-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-21 | 2021-11-09 | N |
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