A list of the most recent deficiencies for Osage Rehab and Health Care 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-30 | 2023-09-30 | 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 | 2023-08-30 | 2023-09-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-30 | 2023-09-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-30 | 2023-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-09-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-30 | 2023-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-30 | 2023-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-30 | 2023-09-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-30 | 2023-09-21 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-08-30 | 2023-09-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-30 | 2023-09-11 | 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 | 2023-08-30 | 2023-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-30 | 2023-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-30 | 2023-09-07 | 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 | 2023-08-30 | 2023-09-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-30 | 2023-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-09-05 | 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 | 2023-08-30 | 2023-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-13 | 2023-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-13 | 2023-06-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2022-12-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-18 | 2022-12-25 | Y |
| 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 | 2022-11-18 | 2022-12-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-18 | 2022-12-25 | 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 | 2022-11-18 | 2022-12-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-18 | 2022-12-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-18 | 2022-12-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2022-12-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-25 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-18 | 2022-12-25 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-11-18 | 2022-12-25 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-18 | 2022-12-25 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-11-18 | 2022-12-25 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-11-18 | 2022-12-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-09 | 2022-07-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-09 | 2022-07-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-09 | 2022-07-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-09 | 2022-07-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-09 | 2022-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-07-08 | 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 | 2022-06-16 | 2022-06-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-16 | 2022-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-16 | 2022-06-17 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-06-16 | 2022-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-16 | 2022-06-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-03-11 | 2021-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-11 | 2021-04-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-11 | 2021-04-10 | N |
| 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 | 2021-03-11 | 2021-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-09 | 2021-03-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-03-09 | 2021-03-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-09 | 2021-03-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-09 | 2021-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-09 | 2021-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-09 | 2021-03-10 | N |
