A list of the most recent deficiencies for Osage Nursing Home, 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-17 | 2024-01-02 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-17 | 2024-01-02 | 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 | 2023-11-17 | 2024-01-02 | 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 | 2023-11-17 | 2024-01-02 | 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 | 2023-11-17 | 2024-01-02 | 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 | 2023-11-17 | 2024-01-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-05-13 | 2021-06-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-13 | 2021-06-24 | 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 | 2021-05-13 | 2021-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-02-19 | 2019-04-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-19 | 2019-04-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-02-19 | 2019-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-19 | 2019-04-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-19 | 2019-04-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-13 | 2019-04-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-02-13 | 2019-04-04 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-03-28 | 2018-05-11 | 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 | 2018-03-28 | 2018-05-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Have an externally vented heating system. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-28 | 2018-05-11 | N |
