A list of the most recent deficiencies for Ossian Senior Hospice. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-19 | 2023-11-27 | 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 | 2023-10-19 | 2023-11-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-19 | 2023-11-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-12 | 2023-11-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-12 | 2023-11-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-19 | 2023-10-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-19 | 2023-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-19 | 2023-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-28 | 2022-08-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-29 | 2022-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-29 | 2022-07-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-29 | 2022-07-29 | 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 | 2022-06-29 | 2022-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-07-28 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2022-06-28 | 2022-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-28 | 2022-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-28 | 2022-06-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-04 | 2021-09-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-04 | 2021-09-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-04 | 2021-09-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-04 | 2021-09-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-04 | 2021-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-09-04 | 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 | 2021-07-29 | 2021-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-08-26 | N |
| Post nurse staffing information every day. | Health | 2021-07-29 | 2021-08-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-29 | 2021-08-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-29 | 2021-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-08-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
