A list of the most recent deficiencies for Oswego 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-03 | 2023-01-06 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-12 | 2022-11-10 | 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 | 2022-10-12 | 2022-11-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-12 | 2022-11-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-16 | 2022-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-16 | 2022-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-16 | 2022-09-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-16 | 2022-09-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-16 | 2022-09-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-16 | 2022-09-02 | N |
| 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 | 2022-08-16 | 2022-09-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-07 | 2021-07-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-08 | 2021-07-08 | 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 | 2021-06-08 | 2021-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-06-21 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-05 | 2021-05-25 | 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 | 2021-05-05 | 2021-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-05 | 2021-05-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-12 | 2019-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-12 | 2019-09-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-12 | 2019-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-12 | 2019-09-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-16 | 2019-08-16 | 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 | 2019-07-16 | 2019-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-16 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-07-16 | N |
