A list of the most recent deficiencies for Continuing Healthcare of Toledo. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-23 | 2023-06-07 | Y |
| 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 | 2023-04-27 | 2023-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-06-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-02 | 2022-08-31 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-02 | 2022-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-02 | 2022-08-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-02 | 2022-08-31 | N |
| Post nurse staffing information every day. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | N |
| 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 | 2022-08-02 | 2022-08-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-02 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-02 | 2022-08-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-02 | 2022-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-26 | 2022-08-31 | 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 | 2022-07-26 | 2022-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-26 | 2022-08-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-06 | 2022-06-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-06 | 2022-06-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-01 | 2022-06-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-01 | 2022-06-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-01 | 2022-06-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-01 | 2022-06-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-01 | 2022-06-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-01 | 2022-06-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-28 | 2022-02-25 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-28 | 2022-02-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-28 | 2022-02-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-06 | 2021-12-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-06 | 2021-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-27 | 2021-12-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-10-27 | 2021-12-31 | Y |
| 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 | 2021-08-06 | 2021-08-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-06 | 2021-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-08-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-07 | 2019-09-20 | 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 | 2019-08-07 | 2019-09-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-07 | 2019-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-07 | 2019-09-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-07 | 2019-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-07 | 2019-09-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-07 | 2019-09-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-07 | 2019-09-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide appropriate foot care. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-07 | 2019-09-20 | 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 | 2019-08-07 | 2019-09-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-07 | 2019-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-07 | 2019-09-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-07 | 2019-09-20 | 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 | 2019-08-07 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-07 | 2019-09-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-08-05 | 2019-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-05 | 2019-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-05 | 2019-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-05 | 2019-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-05 | 2019-09-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-05 | 2019-09-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-09-21 | 2019-01-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-20 | 2018-10-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-20 | 2018-10-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-20 | 2018-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-20 | 2018-10-19 | 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 | 2018-09-20 | 2018-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-10-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-20 | 2018-10-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-20 | 2018-10-19 | 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 | 2018-09-20 | 2018-10-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-20 | 2018-10-19 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2018-09-20 | 2018-10-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-09-21 | 2018-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-21 | 2018-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-21 | 2018-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-21 | 2018-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-21 | 2018-10-19 | N |
