A list of the most recent deficiencies for Ostrander Care and Rehab. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-12-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-08 | 2023-12-15 | 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 | 2023-11-08 | 2023-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-12-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-08 | 2023-12-07 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-08 | 2023-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2023-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2023-11-16 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-08 | 2023-11-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-30 | 2022-08-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-30 | 2022-08-05 | 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 | 2022-06-30 | 2022-08-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-08-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-30 | 2022-08-05 | 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 | 2022-06-30 | 2022-08-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-30 | 2022-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-08-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-28 | 2022-07-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-28 | 2022-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-28 | 2022-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-07 | 2021-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-07 | 2021-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-07 | 2021-05-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-08 | 2021-05-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-08 | 2021-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-08 | 2021-05-14 | 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 | 2021-04-08 | 2021-05-14 | 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 | 2021-04-08 | 2021-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-08 | 2021-05-14 | 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 | 2021-04-08 | 2021-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-04-08 | 2021-05-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-08 | 2021-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2021-05-14 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-08 | 2021-05-14 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-08 | 2021-05-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-04-07 | 2021-05-14 | N |
