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 |
