Deficiency Records for Otterbein Gahanna
Updated as of February 01, 2023
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? |
|---|---|---|---|---|
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-07 | 2023-01-18 | Y |
| 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 | 2022-12-07 | 2023-01-18 | Y |
| Post nurse staffing information every day. | Health | 2022-12-07 | 2023-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-11 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-07-13 | 2022-08-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-13 | 2022-08-08 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-06-13 | 2022-08-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-13 | 2022-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-04 | Y |
| Provide appropriate foot care. | Health | 2022-07-13 | 2022-08-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-13 | 2022-08-04 | Y |
| 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 | 2022-06-13 | 2022-08-04 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-06-13 | 2022-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-13 | 2022-08-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-13 | 2022-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-13 | 2022-08-04 | Y |
| 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 | 2022-06-13 | 2022-08-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-13 | 2022-08-04 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-06-13 | 2022-08-04 | Y |
| 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 | 2022-06-13 | 2022-08-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-13 | 2022-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-13 | 2022-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-18 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-29 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-18 | 2022-04-29 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-18 | 2022-04-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-02-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-16 | 2022-02-04 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-12-16 | 2022-02-04 | Y |
| 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 |
| 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 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 | 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 |
| 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 |
