Deficiency Records for Our Lady of Consolation Nursing and Rehab Care Ctr
Updated as of September 01, 2016
This is not the most recent data for Our Lady of Consolation Nursing and Rehab Care Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Our Lady of Consolation Nursing and Rehab Care Ctr. 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? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-13 | 2016-01-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-13 | 2015-12-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-13 | 2015-12-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| The appropriate emergency electrical system. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-12-05 | 2015-02-01 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2014-12-05 | 2015-02-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-12-05 | 2015-02-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-12-05 | 2015-02-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-05 | 2015-02-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-12-05 | 2015-02-01 | N |
| Approved construction type or materials. | Fire Safety | 2013-12-11 | 2014-02-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-12-11 | 2014-02-08 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2013-12-11 | 2014-02-08 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-12-11 | 2014-02-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-12-11 | 2014-02-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-12-11 | 2014-02-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2013-12-11 | 2014-02-07 | N |
| Provide housekeeping and maintenance services. | Health | 2013-12-11 | 2014-02-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-12-11 | 2014-02-07 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-10-03 | 2013-12-20 | Y |
