Deficiency Records for Ozanam Hall of Queens Nursing Home Inc
Updated as of April 01, 2024
A list of the most recent deficiencies for Ozanam Hall of Queens Nursing Home Inc. 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-20 | 2022-10-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-07-20 | 2022-09-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-20 | 2022-09-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-20 | 2022-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-20 | 2022-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-20 | 2022-09-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-20 | 2022-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-20 | 2022-09-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-19 | 2022-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-19 | 2022-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-19 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-19 | 2022-08-31 | 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 | 2022-07-19 | 2022-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-19 | 2022-08-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-06 | 2022-08-06 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-06 | 2022-08-06 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-06-06 | 2022-08-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-06 | 2022-08-06 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-21 | 2019-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-21 | 2019-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2019-12-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-21 | 2019-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-21 | 2019-12-15 | 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 | 2019-10-21 | 2019-12-15 | 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 | 2019-10-21 | 2019-12-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-21 | 2019-11-29 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-23 | 2018-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-23 | 2018-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-23 | 2018-03-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-01-23 | 2018-03-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-01-23 | 2018-03-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-23 | 2018-03-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-01-23 | 2018-03-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-23 | 2018-03-23 | N |
