Deficiency Records for O'neill Healthcare Middleburg Heights

A list of the most recent deficiencies for O'neill Healthcare Middleburg Heights. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2023-07-06	2023-08-21	Y
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	2022-12-27	2023-02-20	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	2022-12-27	2023-02-20	N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.	Health	2022-12-27	2023-02-20	N
Provide and implement an infection prevention and control program.	Health	2022-12-27	2023-02-20	N
Keep aisles, corridors, and exits free of obstruction in case of emergency.	Fire Safety	2022-12-19	2023-02-20	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	2022-12-19	2023-02-20	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2022-12-19	2023-02-20	N
Have simulated fire drills held at unexpected times.	Fire Safety	2022-12-19	2023-02-20	N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Fire Safety	2022-12-19	2023-02-20	N
Have power receptacles that are properly grounded.	Fire Safety	2022-12-19	2023-02-20	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2022-12-19	2023-02-20	N
Ensure medication error rates are not 5 percent or greater.	Health	2021-12-16	2022-01-06	Y
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	2020-02-18	2020-09-10	N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.	Fire Safety	2020-02-18	2020-09-10	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	2020-02-18	2020-09-10	N
Properly provide smoke detection systems in areas open to corridors.	Fire Safety	2020-02-18	2020-09-10	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2020-02-18	2020-09-10	N
Install corridor and hallway doors that block smoke.	Fire Safety	2020-02-18	2020-09-10	N
Have properly installed electrical wiring and gas equipment.	Fire Safety	2020-02-18	2020-09-10	N
Have simulated fire drills held at unexpected times.	Fire Safety	2020-02-18	2020-09-10	N
Have a battery powered remote alarm panel in a location accessible by operating personnel.	Fire Safety	2020-02-18	2020-09-10	N
Ensure proper usage of power strips and extension cords.	Fire Safety	2020-02-18	2020-09-10	N
Establish policies and procedures for volunteers.	Fire Safety	2020-02-18	2020-03-31	N
Establish roles under a Waiver declared by secretary.	Fire Safety	2020-02-18	2020-03-31	N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Health	2020-02-20	2020-03-02	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2020-02-20	2020-03-02	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2020-02-20	2020-03-02	N
Provide and implement an infection prevention and control program.	Health	2020-02-20	2020-03-02	N
Ensure each resident receives an accurate assessment.	Health	2019-01-04	2019-01-31	N
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	2019-01-04	2019-01-31	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2019-01-04	2019-01-31	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	2019-01-03	2019-01-31	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	2019-01-03	2019-01-31	N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Fire Safety	2019-01-03	2019-01-31	N
Install smoke barrier doors that can resist smoke for at least 20 minutes.	Fire Safety	2019-01-03	2019-01-31	N
Meet other general requirements that are deficient.	Fire Safety	2019-01-03	2019-01-31	N
Have simulated fire drills held at unexpected times.	Fire Safety	2019-01-03	2019-01-31	N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Fire Safety	2019-01-03	2019-01-31	N
To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Fire Safety	2019-01-03	2019-01-31	N
Have power receptacles that are properly grounded.	Fire Safety	2019-01-03	2019-01-31	N

Deficiency Records for O'neill Healthcare Middleburg Heights

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