A list of the most recent deficiencies for Wexner Heritage House. 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? |
---|---|---|---|---|
Respond appropriately to all alleged violations. | Health | 2023-07-28 | 2023-08-14 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-08 | 2022-05-01 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-08 | 2022-05-01 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-08 | 2022-05-01 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-08 | 2022-05-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-08 | 2022-05-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-05-01 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-08 | 2022-05-01 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-08 | 2022-05-01 | 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 | 2022-03-08 | 2022-05-01 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-08 | 2022-05-01 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-08 | 2022-05-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-08 | 2022-05-01 | 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 | 2022-03-08 | 2022-05-01 | 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 | 2022-03-08 | 2022-05-01 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-03-08 | 2022-05-01 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-08 | 2022-05-01 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-05-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-08 | 2022-05-01 | Y |
Use approved construction type or materials. | Fire Safety | 2022-03-01 | 2022-05-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-01 | 2022-05-01 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-01 | 2022-05-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-05-01 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-30 | 2021-09-09 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-28 | 2021-09-09 | 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 | 2021-07-28 | 2021-09-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-28 | 2021-09-09 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-28 | 2021-09-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-28 | 2021-09-09 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-28 | 2021-09-09 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-09-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-16 | 2021-07-16 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-05-16 | 2019-06-21 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-16 | 2019-06-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2019-05-16 | 2019-06-21 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-21 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-15 | 2019-06-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-15 | 2019-06-21 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-04-12 | 2018-05-28 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-12 | 2018-05-28 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-04-12 | 2018-05-28 | N |
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-04-12 | 2018-05-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-12 | 2018-05-28 | N |