Deficiency Records for Divine Rehabilitation and Nursing at Toledo
Updated as of March 01, 2024
A list of the most recent deficiencies for Divine Rehabilitation and Nursing at Toledo. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-06 | 2023-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-09-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-06 | 2023-09-19 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-06 | 2023-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-13 | 2023-06-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-18 | 2023-06-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-14 | 2023-04-20 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-22 | 2023-04-20 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-03-22 | 2023-04-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-14 | 2023-04-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-14 | 2023-04-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-04-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-04-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-14 | 2023-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-04-20 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-12-27 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-27 | 2023-04-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-13 | 2023-04-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-13 | 2022-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-13 | 2022-11-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-07 | Y |
| Post nurse staffing information every day. | Health | 2022-10-13 | 2022-11-07 | 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 | 2022-09-28 | 2022-11-07 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-28 | 2022-11-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-28 | 2022-11-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-28 | 2022-11-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-28 | 2022-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-27 | 2022-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-27 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-06 | 2022-05-20 | Y |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2022-04-06 | 2022-05-20 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-26 | 2021-11-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-10-26 | 2021-11-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-26 | 2021-11-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-26 | 2021-11-16 | 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 | 2021-10-26 | 2021-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-26 | 2021-11-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-26 | 2021-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-26 | 2021-11-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-26 | 2021-11-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-26 | 2021-11-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-26 | 2021-11-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-26 | 2021-11-16 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-26 | 2021-11-16 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-26 | 2021-11-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-18 | 2021-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-18 | 2021-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-18 | 2021-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-18 | 2021-11-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-18 | 2021-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-18 | 2021-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-03 | 2021-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-12 | 2021-04-26 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-03-12 | 2021-04-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-05-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-11 | 2019-05-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-11 | 2019-05-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-11 | 2019-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-05-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-11 | 2019-05-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-11 | 2019-05-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-05-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-11 | 2019-05-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-09 | 2019-05-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-09 | 2019-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-09 | 2019-05-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-09 | 2019-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-09 | 2019-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-09 | 2019-05-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-15 | 2018-04-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-15 | 2018-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-15 | 2018-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-13 | 2018-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-13 | 2018-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-13 | 2018-04-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-13 | 2018-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-22 | Not Fixed | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-22 | Not Fixed | N |
