A list of the most recent deficiencies for Accord Care Community Orrville LLC. 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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-11-02 | 2023-12-13 | 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 | 2023-11-02 | 2023-12-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-02 | 2023-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-02 | 2023-12-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-02 | 2023-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-02 | 2023-12-13 | 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 | 2023-11-02 | 2023-12-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-02 | 2023-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-02 | 2023-12-13 | 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 | 2023-11-02 | 2023-12-13 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-11-02 | 2023-12-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-02 | 2023-12-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-02 | 2023-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-02 | 2023-12-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-02 | 2023-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-01 | 2023-12-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-02 | 2023-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-15 | 2022-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-01-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-06 | 2022-01-13 | 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 | 2022-01-06 | 2022-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-01-13 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-24 | 2021-09-23 | 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 | 2021-08-26 | 2021-09-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-26 | 2021-09-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-26 | 2021-09-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-26 | 2021-09-22 | 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 | 2021-08-26 | 2021-09-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-24 | 2021-09-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-05-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-02 | 2019-05-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-02 | 2019-05-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-02 | 2019-05-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-02 | 2019-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-02 | 2019-05-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-02 | 2019-05-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-02 | 2019-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-02 | 2019-05-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-02 | 2019-05-29 | 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 | 2019-05-02 | 2019-05-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-02 | 2019-05-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-30 | 2019-05-29 | 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 | 2019-04-30 | 2019-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-30 | 2019-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-30 | 2019-05-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-30 | 2019-05-29 | N |
