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Deficiency Records for Community Hospital Onaga Ltcu
View the most recent health deficiencies and inspection results for Community Hospital Onaga Ltcu. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Community Hospital Onaga Ltcu. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-31 | 2024-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-31 | 2024-12-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-10-31 | 2024-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-31 | 2024-11-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-10-31 | 2024-11-18 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-19 | 2023-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-19 | 2023-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-19 | 2023-08-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-19 | 2023-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-19 | 2023-08-12 | 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 | 2023-06-19 | 2023-07-05 | 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 | 2023-06-19 | 2023-07-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-19 | 2023-07-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-19 | 2023-07-05 | 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 | 2023-06-19 | 2023-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-21 | 2022-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-21 | 2022-02-28 | 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 | 2021-12-21 | 2022-02-28 | 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 | 2021-12-21 | 2022-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-01-19 | N |