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Deficiency Records for Otterbein North Shore
A list of the most recent deficiencies for Otterbein North Shore. 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 North Shore. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-17 | 2024-07-01 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-06-17 | 2024-07-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-23 | 2023-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-27 | 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 | 2023-03-21 | 2023-04-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-23 | 2023-04-18 | 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 | 2020-02-12 | 2020-03-23 | 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 | 2020-02-14 | 2020-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-14 | 2020-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-14 | 2020-03-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-04 | 2019-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-04 | 2019-01-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
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