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Deficiency Records for Optima Care Castle Hill

A list of the most recent deficiencies for Optima Care Castle Hill. 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 Optima Care Castle Hill. 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?
Install an approved automatic sprinkler system. Fire Safety 2023-01-13 2023-03-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-13 2023-03-10 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-01-13 2023-02-28 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-01-13 2023-02-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-13 2023-02-28 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 2023-01-13 2023-02-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-13 2023-02-28 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-01-13 2023-02-28 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-01-13 2023-02-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-01-13 2023-02-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-01-13 2023-02-28 N
Ensure medication error rates are not 5 percent or greater. Health 2023-01-13 2023-02-28 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2023-01-13 2023-02-28 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2023-01-13 2023-02-28 N
Provide and implement an infection prevention and control program. Health 2023-01-13 2023-02-28 N
Install proper backup exit lighting. Fire Safety 2023-01-13 2023-02-28 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-01-13 2023-02-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-01-13 2023-02-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-01-13 2023-02-28 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-01-13 2023-02-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-01-13 2023-02-10 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-01-13 2023-02-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-01-13 2023-02-10 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-01-13 2023-02-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-13 2023-02-10 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-08-18 2022-08-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-18 2022-08-22 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-08-18 2022-08-22 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-04-15 2019-05-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-15 2019-05-03 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2019-04-15 2019-05-03 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2019-04-15 2019-05-03 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 2019-04-15 2019-05-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-15 2019-05-03 N
Dispose of garbage and refuse properly. Health 2019-04-15 2019-05-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-04-15 2019-05-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-04-15 2019-05-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-15 2019-05-03 N

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