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Deficiency Records for Our Ladys Center For Rehabilitation and Healthcare
View the most recent health deficiencies and inspection results for Our Ladys Center For Rehabilitation and Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Our Ladys Center For Rehabilitation and Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-12-31 | 2025-02-11 | 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 | 2024-12-31 | 2025-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-31 | 2025-02-11 | 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 | 2024-12-31 | 2025-02-11 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-12-31 | 2025-02-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-31 | 2025-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-31 | 2025-02-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-31 | 2025-02-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-31 | 2025-02-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-12-31 | 2025-02-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-31 | 2025-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-31 | 2025-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-31 | 2025-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-31 | 2025-02-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-22 | 2024-01-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-22 | 2024-01-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-22 | 2024-01-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-22 | 2024-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2024-01-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-22 | 2024-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-22 | 2024-01-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-22 | 2024-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-22 | 2024-01-15 | 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 | 2023-11-22 | 2024-01-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-22 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-05-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-09 | 2022-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-09 | 2022-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-09 | 2022-02-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-09 | 2022-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-09 | 2022-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-02-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-09 | 2022-02-25 | N |