Deficiency Records for Ontario Healthcare Center
Updated as of February 01, 2022
This is not the most recent data for Ontario Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-10-29 | 2021-03-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-11-30 | 2021-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-04-23 | 2020-05-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-02-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-09-09 | 2019-10-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-09 | 2019-10-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-12 | 2019-06-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-12 | 2019-06-26 | 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 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-26 | 2019-04-29 | Y |
| 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 |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-03-03 | 2017-03-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-03-03 | 2017-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-03 | 2017-03-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-03 | 2017-03-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-03-03 | 2017-03-24 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-13 | 2017-03-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-13 | 2017-03-15 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-02-13 | 2017-03-15 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-02-13 | 2017-03-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-13 | 2017-03-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-13 | 2017-03-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-02-13 | 2017-03-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-13 | 2017-03-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-13 | 2017-03-15 | N |
