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Deficiency Records for Otterbein North Shore
View the most recent health deficiencies and inspection results for Otterbein North Shore. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Otterbein North Shore. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2026-03-27 | 2026-04-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-27 | 2026-04-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-27 | 2026-04-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-27 | 2026-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-22 | 2025-11-03 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-17 | 2025-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-17 | 2025-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-05-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-17 | 2025-05-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Post nurse staffing information every day. | Health | 2025-04-17 | 2025-04-30 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2025-04-17 | 2025-04-30 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-06-17 | 2024-07-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-17 | 2024-07-01 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-27 | 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 | 2023-03-23 | 2023-04-27 | 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 | 2023-03-23 | 2023-04-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-23 | 2023-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-04-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-23 | 2023-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-23 | 2023-04-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-23 | 2023-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-12 | 2020-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-12 | 2020-03-23 | 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 | 2020-02-12 | 2020-03-23 | 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 | 2020-02-12 | 2020-03-23 | N |