Deficiency Records for Onaga Operator, LLC
Updated as of August 01, 2022
This is not the most recent data for Onaga Operator, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Onaga Operator, 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? |
---|---|---|---|---|
Establish policies and procedures including evacuation. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Use approved construction type or materials. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-12 | 2021-11-18 | 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 | 2021-10-12 | 2021-11-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-12 | 2021-11-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-12 | 2021-11-18 | 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 | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-15 | 2021-10-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-18 | 2020-02-18 | Y |
Create arrangements with other facilities to receive patients. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-17 | 2019-10-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-17 | 2019-10-18 | 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 | 2019-07-17 | 2019-07-31 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-17 | 2019-07-31 | 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 | 2018-10-09 | 2018-11-08 | 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 | 2018-10-09 | 2018-11-08 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Develop a communication plan. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Establish methods for sharing information. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-12 | 2018-05-08 | 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 | 2018-04-12 | 2018-05-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-12 | 2018-05-08 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-12 | 2018-05-08 | N |