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Deficiency Records for Otterbein Sunset Village
A list of the most recent deficiencies for Otterbein Sunset Village. 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 Otterbein Sunset Village. 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 each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-28 | 2024-01-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-08 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-30 | 2023-12-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2023-12-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-10 | 2023-07-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-10 | 2023-07-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-18 | 2022-11-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-18 | 2022-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-11-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-18 | 2022-11-09 | 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 | 2022-10-18 | 2022-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-18 | 2022-11-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-18 | 2022-11-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-13 | 2022-11-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-30 | 2022-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-11 | 2022-03-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-10 | 2022-03-11 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-01-10 | 2022-03-11 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-01-10 | 2022-02-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-09 | 2019-11-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-09 | 2019-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-09 | 2019-11-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-09 | 2019-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-09 | 2019-11-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-10-09 | 2019-11-15 | N |
| Post nurse staffing information every day. | Health | 2019-10-09 | 2019-11-15 | N |
| 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 | 2019-10-09 | 2019-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-11-15 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-10-09 | 2019-11-15 | 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 | 2019-10-08 | 2019-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-08 | 2019-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-06 | 2018-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-06 | 2018-10-10 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-09-06 | 2018-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-06 | 2018-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-06 | 2018-10-10 | N |
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