A list of the most recent deficiencies for Otterbein New Albany. 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-31 | 2023-11-17 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-21 | 2023-09-26 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-30 | 2023-01-26 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-25 | 2022-08-25 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-25 | 2022-08-25 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-25 | 2022-08-25 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-25 | 2022-08-25 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-07-25 | 2022-08-25 | N |
Provide activities to meet all resident's needs. | Health | 2022-07-25 | 2022-08-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-25 | 2022-08-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-25 | 2022-08-25 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-25 | 2022-08-25 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-25 | 2022-08-25 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-25 | 2022-08-25 | 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 | 2022-07-25 | 2022-08-25 | 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 | 2022-07-25 | 2022-08-25 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-25 | 2022-08-25 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-25 | 2022-08-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-25 | 2022-08-25 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-25 | 2022-08-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-23 | 2022-08-25 | Y |
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 | 2022-07-19 | 2022-08-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-19 | 2022-08-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-19 | 2022-08-25 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-11 | 2022-02-04 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-31 | 2021-09-20 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-13 | 2021-06-14 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-13 | 2021-06-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-14 | Y |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-11-14 | 2019-12-30 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-14 | 2019-12-30 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-11-14 | 2019-12-30 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-14 | 2019-12-30 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-14 | 2019-12-30 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-14 | 2019-12-30 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-11-14 | 2019-12-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-14 | 2019-12-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2019-12-30 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-14 | 2019-12-30 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-14 | 2019-12-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-30 | 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 | 2019-11-13 | 2019-12-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-11-13 | 2019-12-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-30 | 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 | 2018-10-03 | 2019-01-05 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-03 | 2018-12-06 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-03 | 2018-12-06 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-03 | 2018-12-06 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-10-03 | 2018-12-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-03 | 2018-12-06 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-03 | 2018-12-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-03 | 2018-12-06 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-10-04 | 2018-10-31 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-04 | 2018-10-31 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-04 | 2018-10-31 | N |
Respond appropriately to all alleged violations. | Health | 2018-10-04 | 2018-10-31 | N |
Ensure a qualified health professional conducts resident assessments. | Health | 2018-10-04 | 2018-10-31 | 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 | 2018-10-04 | 2018-10-31 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-04 | 2018-10-31 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-04 | 2018-10-31 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-04 | 2018-10-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-10-31 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-04 | 2018-10-31 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-31 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-04 | 2018-10-31 | N |
Post nurse staffing information every day. | Health | 2018-10-04 | 2018-10-31 | 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 | 2018-10-04 | 2018-10-31 | 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 | 2018-10-04 | 2018-10-31 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-04 | 2018-10-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-10-31 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-10-31 | N |