Deficiency Records for Orono Commons
Updated as of May 01, 2024
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Deficiency Records for Orono Commons
A list of the most recent deficiencies for Orono Commons. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Orono Commons. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-28 | 2024-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-28 | 2023-09-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-01 | 2023-04-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-01 | 2023-04-11 | 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 | 2023-03-01 | 2023-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-04-11 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-03-01 | 2023-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-01 | 2023-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-01 | 2023-04-11 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-01 | 2023-04-11 | Y |
| 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 | 2023-02-28 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-28 | 2023-03-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-28 | 2023-03-08 | 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 | 2021-11-03 | 2021-12-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-03 | 2021-12-14 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-11-03 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-03 | 2021-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-03 | 2021-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-01 | 2021-11-15 | 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 | 2021-11-01 | 2021-11-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-01 | 2021-11-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-08 | 2019-11-25 | 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 | 2019-10-08 | 2019-11-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-11-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-09 | 2019-11-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-09 | 2019-11-04 | N |
| Post nurse staffing information every day. | Health | 2019-10-09 | 2019-11-04 | 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 | 2019-10-09 | 2019-11-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-10-09 | 2019-11-04 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-10-09 | 2019-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-11-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-10-09 | 2019-11-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-09 | 2019-11-04 | N |
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