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Deficiency Records for Aurelia Osborn Fox Memorial Hospital
View the most recent health deficiencies and inspection results for Aurelia Osborn Fox Memorial Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Aurelia Osborn Fox Memorial Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2025-04-22 | 2025-06-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-22 | 2025-06-10 | N |
| Respond appropriately to all alleged violations. | Health | 2025-04-22 | 2025-06-09 | 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 | 2025-04-22 | 2025-06-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-22 | 2025-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-22 | 2025-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-22 | 2025-06-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-22 | 2025-06-09 | 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 | 2025-04-22 | 2025-06-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-22 | 2025-06-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-22 | 2025-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-22 | 2025-06-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-22 | 2025-06-09 | N |
| Develop a communication plan. | Fire Safety | 2025-04-22 | 2025-06-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-22 | 2025-06-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-04-22 | 2025-06-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-22 | 2025-05-30 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-22 | 2025-05-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-22 | 2025-05-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-22 | 2025-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-22 | 2025-05-22 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2025-04-22 | 2025-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-22 | 2025-05-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-22 | 2025-05-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-26 | 2024-06-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-26 | 2024-06-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-26 | 2022-07-21 | 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 | 2022-05-26 | 2022-07-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-05-26 | 2022-07-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-05-26 | 2022-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-26 | 2022-07-15 | 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 | 2022-05-26 | 2022-07-08 | 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 | 2022-05-26 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-07-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-10-31 | 2020-01-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-31 | 2020-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-31 | 2019-12-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-10-31 | 2019-12-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-31 | 2019-12-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-31 | 2019-12-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-31 | 2019-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-31 | 2019-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-12-20 | 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 | 2019-10-31 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-12-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-31 | 2019-12-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-31 | 2019-12-20 | 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 | 2019-10-31 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-12-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-31 | 2019-12-20 | N |