A list of the most recent deficiencies for Otterbein Portage Valley. 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 that residents are free from significant medication errors. | Health | 2023-08-07 | 2023-08-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-29 | 2023-04-20 | Y |
| 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 | 2023-03-29 | 2023-04-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-03-29 | 2023-04-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-29 | 2023-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-20 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-16 | 2023-03-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-28 | 2022-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-28 | 2022-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-28 | 2022-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-28 | 2022-12-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-28 | 2022-12-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-28 | 2022-12-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-28 | 2022-12-22 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-28 | 2022-12-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-20 | 2022-12-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-21 | 2022-12-22 | 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 | 2022-11-21 | 2022-12-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-21 | 2022-12-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-21 | 2022-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-21 | 2022-12-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-21 | 2022-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-21 | 2022-12-22 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-06-30 | 2022-07-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-30 | 2022-07-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-15 | 2021-12-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-15 | 2021-12-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-15 | 2021-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-04 | 2020-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-04 | 2020-01-31 | 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 | 2020-01-02 | 2020-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-02 | 2020-01-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-11-20 | 2018-12-19 | 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 | 2018-11-20 | 2018-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-19 | 2018-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-19 | 2018-12-19 | N |
