A list of the most recent deficiencies for Avalon By Otterbein at Perrysburg. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-22 | 2024-04-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-22 | 2024-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-22 | 2024-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-22 | 2024-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-22 | 2024-04-10 | 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 | 2024-02-22 | 2024-04-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-22 | 2024-04-10 | 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 | 2024-02-22 | 2024-04-10 | 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 | 2024-02-22 | 2024-04-10 | 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 | 2024-02-22 | 2024-04-10 | 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 | 2024-02-22 | 2024-04-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-22 | 2024-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-22 | 2024-04-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-21 | 2024-04-10 | 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 | 2024-02-21 | 2024-04-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-21 | 2024-04-10 | 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 | 2024-02-21 | 2024-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-21 | 2024-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-03-28 | Y |
| 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 | 2023-02-28 | 2023-03-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-28 | 2023-03-28 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-02-28 | 2023-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-09-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-11 | 2022-09-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-26 | 2022-06-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-28 | 2022-04-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-28 | 2022-04-14 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-28 | 2022-04-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-28 | 2022-04-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-29 | 2022-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-29 | 2022-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-29 | 2022-01-31 | 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 | 2021-12-29 | 2022-01-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-29 | 2022-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-29 | 2022-01-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-29 | 2022-01-31 | 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 | 2021-12-29 | 2022-01-31 | N |
| 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 | 2021-12-29 | 2022-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-29 | 2022-01-31 | 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 | 2021-12-29 | 2022-01-31 | 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 | 2021-12-29 | 2022-01-31 | 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 | 2021-12-27 | 2022-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-27 | 2022-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-08 | 2021-11-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-08 | 2021-11-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-08 | 2021-11-24 | Y |
| 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 | 2021-07-28 | 2021-09-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-20 | 2019-08-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-20 | 2019-08-05 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-20 | 2019-08-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-20 | 2019-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-08-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-20 | 2019-08-05 | 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 | 2019-06-18 | 2019-08-05 | 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 | 2019-06-18 | 2019-08-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-18 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-18 | 2019-08-05 | N |
