A list of the most recent deficiencies for Ontario Healthcare Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-22 | 2022-07-07 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-02 | 2022-03-28 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-14 | 2022-03-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-14 | 2022-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-14 | 2022-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-14 | 2022-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-03-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-14 | 2022-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-14 | 2022-03-14 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-14 | 2022-03-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-14 | 2022-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-03-14 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-14 | 2022-03-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-14 | 2022-03-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-23 | 2021-10-26 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-09-23 | 2021-10-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-23 | 2021-10-26 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-17 | 2019-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-17 | 2019-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-17 | 2019-06-20 | 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 | 2019-05-17 | 2019-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-17 | 2019-06-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-17 | 2019-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-17 | 2019-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-17 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-06-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-03-29 | 2019-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-29 | 2019-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-29 | 2019-05-15 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-03-29 | 2019-05-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-29 | 2019-05-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Develop a communication plan. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-14 | 2018-06-07 | 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 | 2018-05-14 | 2018-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-14 | 2018-06-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-15 | 2018-04-02 | 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 | 2018-03-15 | 2018-04-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-15 | 2018-04-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-15 | 2018-04-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-03-15 | 2018-04-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-15 | 2018-04-02 | N |
