A list of the most recent deficiencies for Accura Healthcare of Ogden, LLC. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-01 | 2023-08-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-31 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-08-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-31 | 2023-08-18 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-31 | 2023-08-18 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-07-31 | 2023-08-18 | Y |
| 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 | 2023-07-31 | 2023-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-31 | 2023-08-18 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-31 | 2022-07-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-31 | 2022-07-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-31 | 2022-06-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-31 | 2022-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-31 | 2022-06-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-31 | 2022-06-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-31 | 2022-06-01 | 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 | 2022-05-25 | 2022-05-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-25 | 2022-05-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-25 | 2022-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-05-31 | 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 | 2021-11-10 | 2021-11-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-10 | 2021-11-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-04 | 2021-03-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-04 | 2021-03-31 | 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 | 2021-03-04 | 2021-03-31 | 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 | 2021-03-04 | 2021-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-04 | 2021-03-31 | 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 | 2021-03-04 | 2021-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-04 | 2021-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-04 | 2021-03-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-03-08 | 2021-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-08 | 2021-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-08 | 2021-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-08 | 2021-03-15 | 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 | 2021-03-08 | 2021-03-12 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-03-08 | 2021-03-12 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-03-08 | 2021-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-08 | 2021-03-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-08 | 2021-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-08 | 2021-03-11 | N |
