Deficiency Records for Our Lady of Consolation Nursing and Rehab Care Ctr
Updated as of April 01, 2024
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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-13 | 2023-08-11 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-18 | 2022-05-13 | 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 | 2022-03-18 | 2022-05-13 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-03-18 | 2022-05-13 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-03-18 | 2022-05-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-18 | 2022-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-18 | 2022-05-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-18 | 2022-05-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-18 | 2022-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-18 | 2022-05-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-12 | 2019-11-14 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-09-12 | 2019-11-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-09-12 | 2019-11-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-12 | 2019-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-12 | 2019-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-12 | 2019-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-11-01 | 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 | 2019-09-12 | 2019-11-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-11-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-09 | 2018-04-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-09 | 2018-04-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-03-09 | 2018-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-09 | 2018-04-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-09 | 2018-04-19 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-03-09 | 2018-04-19 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-09-12 | Not Fixed | N |
