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Deficiency Records for Anew Healthcare Odessa
A list of the most recent deficiencies for Anew Healthcare Odessa. 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 Anew Healthcare Odessa. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-28 | 2024-08-08 | 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 | 2024-05-28 | 2024-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-28 | 2024-08-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-28 | 2024-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-28 | 2024-07-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-28 | 2024-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-28 | 2024-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-28 | 2024-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-28 | 2024-07-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-28 | 2024-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-28 | 2024-07-05 | N |
| 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 | 2024-05-28 | 2024-07-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-28 | 2024-07-05 | 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 | 2024-05-28 | 2024-07-05 | 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 | 2024-05-28 | 2024-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-28 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-28 | 2024-07-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-28 | 2024-07-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-15 | 2022-10-24 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-09-15 | 2022-10-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-15 | 2022-10-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-15 | 2022-10-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-15 | 2022-10-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-15 | 2022-10-24 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-09-15 | 2022-10-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-15 | 2022-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-15 | 2022-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-10-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-09-15 | 2022-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-15 | 2022-10-24 | 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 | 2022-09-15 | 2022-10-24 | N |
| Post nurse staffing information every day. | Health | 2022-09-15 | 2022-10-24 | 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 | 2022-09-15 | 2022-10-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-15 | 2022-10-24 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-15 | 2022-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-24 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-15 | 2022-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-15 | 2022-10-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-15 | 2022-10-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-15 | 2022-10-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-01-07 | 2020-02-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-07 | 2020-02-18 | N |
| Post nurse staffing information every day. | Health | 2020-01-07 | 2020-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-07 | 2020-02-18 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-07 | 2020-02-18 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-01-07 | 2020-02-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-07 | 2020-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-07 | 2020-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2020-02-18 | N |
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