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Deficiency Records for Onondaga Center For Rehabilitation and Nursing
A list of the most recent deficiencies for Onondaga Center For Rehabilitation and Nursing. 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 Onondaga Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-10 | 2024-07-09 | 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 | 2024-05-10 | 2024-07-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-10 | 2024-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-10 | 2024-07-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-10 | 2024-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-10 | 2024-07-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-10 | 2024-07-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-10 | 2024-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-07-06 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-10 | 2024-07-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-10 | 2024-07-06 | 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 | 2024-05-10 | 2024-07-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-10 | 2024-07-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-05-10 | 2024-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-07-06 | N |
| Keep all essential equipment working safely. | Health | 2024-05-10 | 2024-07-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-10 | 2024-07-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-10 | 2024-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-10 | 2024-07-06 | Y |
| 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 | 2024-05-10 | 2024-07-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-10 | 2024-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-10 | 2024-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-10 | 2024-07-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-10 | 2024-07-06 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-05-10 | 2024-07-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-10 | 2024-07-06 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-10 | 2024-07-01 | 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 | 2024-05-10 | 2024-07-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-10 | 2024-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-08 | 2024-01-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2024-01-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-08 | 2024-01-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-01 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-09-05 | 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 | 2023-08-01 | 2023-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-18 | 2022-06-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-18 | 2022-06-24 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-14 | 2022-06-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-14 | 2022-06-08 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-18 | 2022-06-01 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-03-14 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-14 | 2022-05-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-14 | 2022-05-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-14 | 2022-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-14 | 2022-05-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-14 | 2022-05-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-14 | 2022-05-06 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-03-14 | 2022-05-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-14 | 2022-05-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-14 | 2022-05-06 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-03-14 | 2022-05-06 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-14 | 2022-05-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-14 | 2022-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-14 | 2022-05-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-14 | 2022-05-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-21 | 2020-04-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-02-21 | 2020-04-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-21 | 2020-04-20 | 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 | 2020-02-21 | 2020-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-21 | 2020-04-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-25 | 2020-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-25 | 2020-04-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-02-25 | 2020-04-15 | 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 | 2020-02-25 | 2020-04-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-25 | 2020-04-15 | N |
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