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Deficiency Records for Vancrest of Upper Sandusky
View the most recent health deficiencies and inspection results for Vancrest of Upper Sandusky. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Vancrest of Upper Sandusky. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-15 | 2026-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-15 | 2026-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-15 | 2026-02-17 | 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 | 2026-01-15 | 2026-02-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-01-15 | 2026-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-15 | 2026-02-17 | 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 | 2026-01-15 | 2026-02-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-01-15 | 2026-02-17 | N |
| Provide activities to meet all resident's needs. | Health | 2026-01-15 | 2026-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-15 | 2026-02-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-01-15 | 2026-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-15 | 2026-02-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-01-15 | 2026-02-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-15 | 2026-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-15 | 2026-02-17 | 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 | 2023-10-26 | 2023-11-17 | 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 | 2023-10-26 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-17 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-26 | 2023-11-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-11-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-26 | 2023-11-17 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-26 | 2023-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-26 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-26 | 2023-11-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-26 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-26 | 2023-11-17 | 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 | 2023-10-26 | 2023-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-26 | 2023-11-17 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-06-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-07-06 | 2021-08-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-06 | 2021-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-06 | 2021-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-06 | 2021-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-06 | 2021-08-23 | 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 | 2021-07-06 | 2021-08-23 | N |