Deficiency Records for Otterbein Gahanna
Updated as of January 01, 2022
This is not the most recent data for Otterbein Gahanna. For the most recent information, click here.
A list of the most recent deficiencies for Otterbein Gahanna. 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 be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-05-04 | 2021-05-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-04 | 2021-05-28 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-05-04 | 2021-05-28 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-04 | 2021-05-28 | 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 | 2021-05-04 | 2021-05-28 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-04 | 2021-05-28 | N |
Provide activities to meet all resident's needs. | Health | 2021-05-04 | 2021-05-28 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-04 | 2021-05-28 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-03 | 2021-05-04 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-03 | 2021-05-04 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-03 | 2021-05-04 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-29 | 2021-01-19 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-12-29 | 2021-01-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-12-29 | 2021-01-19 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2020-08-26 | 2020-09-28 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-26 | 2020-09-28 | Y |
Ensure each resident receives an accurate assessment. | Health | 2020-08-26 | 2020-09-28 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-26 | 2020-09-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-26 | 2020-09-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-26 | 2020-09-28 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-08-26 | 2020-09-28 | Y |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-08-26 | 2020-09-28 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-08-26 | 2020-09-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-08-26 | 2020-09-28 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-13 | 2020-03-02 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-13 | 2020-03-02 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-07 | 2019-07-19 | Y |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-07-07 | 2019-07-19 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-04 | 2019-07-19 | Y |
Post nurse staffing information every day. | Health | 2019-06-04 | 2019-07-19 | Y |
Provide or obtain dental services for each resident. | Health | 2019-06-04 | 2019-07-19 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-05-08 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-05-08 | N |
Respond appropriately to all alleged violations. | Health | 2019-03-28 | 2019-05-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-05-08 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-28 | 2019-05-08 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-03-28 | 2019-05-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-05-08 | 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 | 2019-03-28 | 2019-05-08 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-29 | 2019-05-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-29 | 2019-05-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-29 | 2019-05-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-29 | 2019-05-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-29 | 2019-05-08 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-28 | 2019-04-30 | 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 | 2019-03-28 | 2019-04-30 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-19 | 2018-03-02 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-01-19 | 2018-03-02 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-19 | 2018-03-02 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-19 | 2018-03-02 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-01-19 | 2018-03-02 | 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 | 2018-01-19 | 2018-03-02 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2018-01-19 | 2018-03-02 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-01-19 | 2018-03-02 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-01-19 | 2018-03-02 | N |
Ensure that residents are free from significant medication errors. | Health | 2018-01-19 | 2018-03-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-19 | 2018-03-02 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-19 | 2018-03-02 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-19 | 2018-03-02 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2018-01-17 | 2018-03-02 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-17 | 2018-03-02 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-17 | 2018-03-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-17 | 2018-03-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-17 | 2018-03-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-17 | 2018-03-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-17 | 2018-03-02 | N |