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Deficiency Records for Othello Nursing and Rehab
A list of the most recent deficiencies for Othello Nursing and Rehab. 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 Othello Nursing and Rehab. 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? |
|---|---|---|---|---|
| Provide appropriate foot care. | Health | 2024-05-21 | 2024-04-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-27 | 2024-04-17 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-03-27 | 2024-04-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-19 | 2024-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-19 | 2024-01-17 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-12-19 | 2024-01-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-19 | 2024-01-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-12 | 2023-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-06-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-12 | 2023-06-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-12 | 2023-06-19 | 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 | 2023-05-12 | 2023-06-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-09 | 2023-06-12 | 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 | 2023-05-09 | 2023-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-01 | 2022-03-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-14 | 2020-03-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-14 | 2020-03-06 | 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 | 2020-02-14 | 2020-03-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-13 | 2020-03-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-13 | 2020-03-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-13 | 2020-02-27 | N |
| 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 | 2019-05-03 | 2019-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-03 | 2019-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-03 | 2019-06-11 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-03 | 2019-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-03 | 2019-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-03 | 2019-06-11 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-05-03 | 2019-06-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-03 | 2019-06-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-03 | 2019-06-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-05-03 | 2019-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-03 | 2019-06-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-03 | 2019-06-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-08 | 2019-05-14 | N |
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