A list of the most recent deficiencies for Odelia 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-12 | 2024-02-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-12 | 2024-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-12 | 2024-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-12 | 2024-02-10 | N |
| Provide appropriate foot care. | Health | 2024-01-12 | 2024-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-02-10 | 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 | 2024-01-12 | 2024-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-09 | 2024-01-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-01-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-01-09 | Y |
| 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 | 2022-11-21 | 2022-12-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-26 | 2022-10-19 | 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 | 2022-09-26 | 2022-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-26 | 2022-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-26 | 2022-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-26 | 2022-10-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-26 | 2022-10-19 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-09-27 | 2022-10-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-27 | 2022-10-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-27 | 2022-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-27 | 2022-10-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-05-20 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-15 | 2021-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-15 | 2021-10-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | 2021-10-12 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-01 | 2021-07-16 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-01 | 2021-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-01 | 2021-07-16 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-01 | 2021-07-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-06-01 | 2021-07-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-01 | 2021-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-01 | 2021-07-16 | 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 | 2021-06-01 | 2021-07-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-01 | 2021-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-01 | 2021-07-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-01 | 2021-07-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-01 | 2021-07-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-01 | 2021-07-16 | 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 | 2021-06-01 | 2021-07-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-06-01 | 2021-07-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-06-01 | 2021-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-01 | 2021-07-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-06-01 | 2021-07-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-25 | 2021-07-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-25 | 2021-07-02 | N |
