A list of the most recent deficiencies for Rock Creek of Ottawa. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2024-01-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-12 | 2023-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-05-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-12 | 2023-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-12 | 2023-05-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-12 | 2023-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-12 | 2023-05-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-29 | 2023-04-27 | 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 | 2023-03-29 | 2023-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-29 | 2023-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-27 | 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 | 2021-09-14 | 2021-10-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-14 | 2021-10-21 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-09-14 | 2021-10-21 | 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 | 2021-08-09 | 2021-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-09 | 2021-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-09 | 2021-08-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-09 | 2021-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-09 | 2021-08-31 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-08-09 | 2021-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-16 | 2021-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-16 | 2021-08-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-10 | 2020-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-10 | 2020-01-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-10 | 2020-01-03 | N |
| 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 | 2019-12-10 | 2020-01-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-10 | 2020-01-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-10 | 2020-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-10 | 2020-01-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-10 | 2020-01-03 | 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 | 2019-10-08 | 2019-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-10-08 | 2019-11-01 | N |
