A list of the most recent deficiencies for O'neill Healthcare Bay Village. 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? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-15 | 2024-02-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-07 | 2022-06-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-03 | 2022-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-03-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-06 | 2021-07-28 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-08-15 | 2019-10-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-15 | 2019-10-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-08-14 | 2019-10-02 | 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 | 2019-08-14 | 2019-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-14 | 2019-10-02 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-07-09 | 2018-12-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-07-12 | 2018-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-12 | 2018-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-12 | 2018-08-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-09 | 2018-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-09 | 2018-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-09 | 2018-08-15 | N |
