A list of the most recent deficiencies for Olivia Restorative Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-13 | 2023-10-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-09-13 | 2023-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-13 | 2023-10-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-13 | 2023-10-11 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-09-13 | 2023-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-13 | 2023-10-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-13 | 2023-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-10-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-13 | 2023-10-11 | 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 | 2023-09-13 | 2023-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-13 | 2023-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-13 | 2023-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-13 | 2023-10-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-06 | 2023-09-30 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-08 | 2022-09-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-08 | 2022-09-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-08 | 2022-09-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-08-08 | 2022-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-09-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-08 | 2022-09-16 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-08 | 2022-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-08 | 2022-09-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-08 | 2022-09-16 | 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 | 2022-08-08 | 2022-09-16 | 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 | 2022-08-08 | 2022-09-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-08-08 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-08 | 2022-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-08 | 2022-09-16 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-08 | 2022-09-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-29 | 2022-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-08 | 2021-11-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-09 | 2021-09-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-06 | 2020-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-06 | 2020-04-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-03-06 | 2020-04-22 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-03-06 | 2020-04-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-03-06 | 2020-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-03-05 | 2020-04-19 | N |
