Deficiency Records for Community Hospital Onaga Ltcu
Updated as of May 01, 2021
This is not the most recent data for Community Hospital Onaga Ltcu. For the most recent information, click here.
A list of the most recent deficiencies for Community Hospital Onaga Ltcu. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-09 | 2020-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-09 | 2020-02-11 | 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 | 2019-02-06 | 2019-03-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-06 | 2019-03-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-06 | 2019-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-06 | 2019-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-23 | 2017-11-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-23 | 2017-11-15 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-23 | 2017-11-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-23 | 2017-11-15 | N |
| Use approved construction type or materials. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-01 | 2017-06-01 | 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 | 2017-05-01 | 2017-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Provide outside doors or windows in every resident room. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-01 | 2017-06-01 | N |
