A list of the most recent deficiencies for Ignite Medical Resort Norman, LLC. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-30 | 2023-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-30 | 2023-12-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-07-17 | 2023-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-17 | 2023-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-17 | 2023-08-25 | 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 | 2023-07-17 | 2023-08-25 | N |
| Post nurse staffing information every day. | Health | 2023-07-17 | 2023-08-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-12 | 2023-02-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-24 | 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 | 2022-05-12 | 2022-06-24 | 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 | 2022-05-12 | 2022-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-12 | 2022-06-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-05-12 | 2022-06-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-06-08 | 2021-07-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-06-08 | 2021-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-08 | 2021-07-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-08 | 2021-07-30 | 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 | 2021-06-08 | 2021-07-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-08 | 2021-07-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-08 | 2021-07-30 | N |
| 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 | 2021-06-08 | 2021-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-08 | 2021-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-08 | 2021-07-30 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-06-08 | 2021-07-30 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-06-08 | 2021-07-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-08 | 2021-07-30 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-06-08 | 2021-07-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-08 | 2021-07-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-08 | 2021-07-30 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-08 | 2021-07-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-08 | 2021-07-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-03 | 2021-07-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-03 | 2021-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-03 | 2021-06-26 | N |
