Deficiency Records for Our Ladys Center For Rehabilitation and Healthcare
Updated as of September 01, 2016
This is not the most recent data for Our Ladys Center For Rehabilitation and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Our Ladys Center For Rehabilitation and Healthcare. 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? |
---|---|---|---|---|
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Exits that are accessible at all times. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Portable fire extinguishers. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Restrictions on the use of portable space heaters. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Proper medical gas storage and administration areas. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-25 | 2015-09-25 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-08-25 | 2015-09-25 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-08-25 | 2015-09-25 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-25 | 2015-09-25 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-01-16 | 2015-02-12 | Y |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Exits that are accessible at all times. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Properly protected cooking facilities. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Restrictions on the use of portable space heaters. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Restrictions on the use of flammable curtains. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-10-09 | 2014-11-21 | N |
Provide housekeeping and maintenance services. | Health | 2014-10-09 | 2014-11-21 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-09 | 2014-11-21 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-11-20 | 2013-12-20 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-20 | 2013-12-20 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-11-20 | 2013-12-09 | N |