Deficiency Records for O'neill Healthcare Middleburg Heights
Updated as of March 01, 2024
A list of the most recent deficiencies for O'neill Healthcare Middleburg Heights. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-08-21 | Y |
| 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 | 2022-12-27 | 2023-02-20 | 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 | 2022-12-27 | 2023-02-20 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-12-27 | 2023-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-27 | 2023-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-19 | 2023-02-20 | 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 | 2022-12-19 | 2023-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-19 | 2023-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-19 | 2023-02-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-19 | 2023-02-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-19 | 2023-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-19 | 2023-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-16 | 2022-01-06 | 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 | 2020-02-18 | 2020-09-10 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2020-02-18 | 2020-09-10 | 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 | 2020-02-18 | 2020-09-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-18 | 2020-09-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-18 | 2020-03-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-18 | 2020-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-20 | 2020-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-20 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-04 | 2019-01-31 | 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 | 2019-01-04 | 2019-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-04 | 2019-01-31 | 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 | 2019-01-03 | 2019-01-31 | 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 | 2019-01-03 | 2019-01-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-01-03 | 2019-01-31 | N |
