A list of the most recent deficiencies for Continuing Healthcare of Gahanna. 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 each resident receives an accurate assessment. | Health | 2024-02-15 | 2024-03-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-15 | 2024-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-15 | 2024-03-05 | Y |
| Provide appropriate foot care. | Health | 2024-02-15 | 2024-03-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-15 | 2024-03-05 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-02-15 | 2024-03-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-03-05 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-15 | 2024-03-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-15 | 2024-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2023-12-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-05 | 2023-12-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-20 | 2023-12-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-20 | 2023-12-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-20 | 2023-12-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-20 | 2023-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-20 | 2023-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-20 | 2023-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-20 | 2023-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-02 | 2023-05-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-02 | 2023-05-17 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-05-02 | 2023-05-17 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-06 | 2023-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-13 | 2023-02-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-13 | 2023-02-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-13 | 2023-02-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-13 | 2023-02-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-13 | 2023-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2023-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2023-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-13 | 2023-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2023-02-28 | 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 | 2022-10-13 | 2023-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-13 | 2023-02-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-13 | 2023-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-13 | 2023-02-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-13 | 2023-02-28 | 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 | 2022-10-13 | 2023-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-13 | 2023-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-13 | 2023-02-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-27 | 2023-02-28 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-10-13 | 2023-02-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-13 | 2023-02-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-13 | 2023-02-09 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-10-13 | 2023-02-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-13 | 2023-02-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-13 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2023-02-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-13 | 2023-02-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-13 | 2023-02-09 | N |
| Provide appropriate foot care. | Health | 2022-10-13 | 2023-02-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-13 | 2023-02-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-10-13 | 2023-02-09 | 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 | 2022-10-13 | 2023-02-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-13 | 2023-02-09 | 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 | 2022-10-13 | 2023-02-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-13 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-02-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-09-27 | 2023-02-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-07 | 2022-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-07 | 2022-09-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-18 | 2022-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-18 | 2022-07-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-07 | 2022-06-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-07 | 2022-06-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-16 | 2022-06-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-16 | 2022-06-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-16 | 2022-06-25 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-03-16 | 2022-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2021-12-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-15 | 2021-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-31 | 2021-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-22 | 2021-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-24 | 2021-10-07 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-15 | 2021-10-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-31 | 2021-10-06 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-08-31 | 2021-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-22 | 2021-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-22 | 2021-10-06 | Y |
| 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 | 2021-07-22 | 2021-10-06 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-24 | 2021-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-24 | 2021-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-24 | 2021-10-06 | Y |
| Provide appropriate foot care. | Health | 2021-06-24 | 2021-10-06 | Y |
| 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 | 2021-06-24 | 2021-10-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-24 | 2021-10-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-24 | 2021-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-24 | 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 | 2020-01-09 | 2020-02-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-09 | 2020-02-24 | 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 | 2020-01-09 | 2020-02-24 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-09 | 2020-02-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-07 | 2020-02-24 | 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 | 2020-01-07 | 2020-02-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-07 | 2020-02-24 | 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 | 2020-01-07 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-07 | 2020-02-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-06 | 2019-01-02 | 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 | 2018-12-06 | 2019-01-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-12-06 | 2019-01-02 | 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 | 2018-12-06 | 2019-01-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-06 | 2019-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-01-02 | 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 | 2018-12-06 | 2019-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-06 | 2019-01-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-06 | 2019-01-02 | 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 | 2018-12-06 | 2019-01-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-06 | 2019-01-02 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-12-03 | 2019-01-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-03 | 2019-01-02 | N |
