A list of the most recent deficiencies for Gardens of North Olmsted. 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-12-14 | 2023-01-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-14 | 2023-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-14 | 2023-01-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-14 | 2023-01-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-14 | 2023-01-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-14 | 2023-01-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-12-14 | 2023-01-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-14 | 2023-01-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-14 | 2023-01-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-14 | 2023-01-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-09 | 2023-01-31 | 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 | 2022-12-09 | 2023-01-31 | 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 | 2022-12-09 | 2023-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-20 | 2022-08-09 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-07-20 | 2022-08-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-11-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-09 | 2021-11-12 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-03 | 2021-06-17 | Y |
| 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 | 2019-09-24 | 2019-12-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-24 | 2019-12-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-26 | 2019-12-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-26 | 2019-12-23 | 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 | 2019-09-26 | 2019-12-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-09-26 | 2019-12-23 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-09-26 | 2019-12-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-09-26 | 2019-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-12-23 | N |
| Dispose of garbage and refuse properly. | Health | 2019-09-26 | 2019-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-12-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-26 | 2019-12-23 | N |
| Have policies on smoking. | Health | 2019-09-26 | 2019-12-23 | N |
| Meet other general requirements. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-24 | 2019-12-23 | 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 | 2019-09-24 | 2019-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-12-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-24 | 2019-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-02 | 2018-09-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Meet other general requirements. | Fire Safety | 2018-07-31 | 2018-09-18 | 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 | 2018-07-31 | 2018-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-31 | 2018-09-18 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-01-25 | Not Fixed | Y |
