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Deficiency Records for Our Lady of Peace Nursing Care Residence
View the most recent health deficiencies and inspection results for Our Lady of Peace Nursing Care Residence. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Our Lady of Peace Nursing Care Residence. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-15 | 2024-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-15 | 2024-12-13 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-10-15 | 2024-12-13 | N |
| Meet other general requirements. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-15 | 2024-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-15 | 2024-12-13 | 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 | 2024-10-15 | 2024-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-25 | 2023-09-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-25 | 2023-09-22 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-23 | 2023-01-20 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-23 | 2023-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-23 | 2023-01-20 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Develop a communication plan. | Fire Safety | 2022-11-23 | 2023-01-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-10 | 2020-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-10 | 2020-02-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-10 | 2020-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-10 | 2020-02-25 | 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 | 2020-01-10 | 2020-02-25 | 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 | 2020-01-10 | 2020-02-25 | N |