Deficiency Records for Toledo Healthcare
Updated as of May 01, 2024
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Deficiency Records for Toledo Healthcare
A list of the most recent deficiencies for Toledo Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Toledo Healthcare. 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? |
---|---|---|---|---|
Install an approved automatic sprinkler system. | Fire Safety | 2022-11-03 | 2022-12-30 | Y |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-03 | 2022-12-30 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-15 | 2022-09-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-08-15 | 2022-09-07 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-08-15 | 2022-09-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-01 | 2022-09-07 | 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 | 2022-06-10 | 2022-07-14 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-07-14 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-06-10 | 2022-07-14 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-16 | 2022-03-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-16 | 2022-03-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-16 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-10-25 | 2021-11-16 | 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 | 2021-06-08 | 2021-08-05 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-08 | 2021-08-05 | 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 | 2021-07-07 | 2021-08-05 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-07 | 2021-08-05 | 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 | 2021-06-11 | 2021-08-05 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-11 | 2021-08-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-08 | 2021-08-04 | 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 | 2021-06-08 | 2021-08-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-08 | 2021-08-04 | 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 | 2021-06-08 | 2021-08-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-08 | 2021-08-04 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-08 | 2021-08-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-08 | 2021-08-04 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-08 | 2021-08-04 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-08 | 2021-08-04 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have exits that are accessible at all times. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-11 | 2021-08-04 | 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 | 2021-06-11 | 2021-08-04 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Construct fire resistant interior walls. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-11 | 2021-08-04 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-11 | 2021-08-04 | 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 | 2019-02-13 | 2019-03-21 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-13 | 2019-03-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-13 | 2019-03-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-02-13 | 2019-03-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-13 | 2019-03-21 | 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 | 2019-02-13 | 2019-03-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-13 | 2019-03-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-13 | 2019-03-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-13 | 2019-03-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-13 | 2019-03-21 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-13 | 2019-03-21 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-13 | 2019-03-21 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-02-13 | 2019-03-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-02-14 | 2019-03-21 | 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 | 2019-02-14 | 2019-03-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-14 | 2019-03-21 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-29 | 2018-01-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-29 | 2018-01-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-29 | 2018-01-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-29 | 2018-01-17 | 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 | 2018-01-04 | 2018-01-17 | N |
Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-01-04 | 2018-01-17 | 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 | 2018-01-04 | 2018-01-17 | 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 | 2018-01-04 | 2018-01-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-04 | 2018-01-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-04 | 2018-01-17 | N |
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