A list of the most recent deficiencies for Otterbein North Shore. 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 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 |
Provide and implement an infection prevention and control program. | 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 | 2023-03-21 | 2023-04-27 | N |
Install proper backup exit lighting. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-03-21 | 2023-04-27 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-21 | 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 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-16 | 2021-07-01 | Y |
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 |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-02-14 | 2020-03-23 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-14 | 2020-03-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-14 | 2020-03-23 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-04 | 2019-01-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-04 | 2019-01-21 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-02 | 2019-01-21 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-02 | 2019-01-21 | N |