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Deficiency Records for Mt Olympus Rehabilitation Center
A list of the most recent deficiencies for Mt Olympus Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Mt Olympus Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-09 | 2024-07-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-09 | 2024-07-08 | 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 | 2024-05-09 | 2024-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-07-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-09 | 2024-07-08 | 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 | 2024-05-09 | 2024-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-07-08 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-07 | 2024-07-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-07 | 2024-07-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-07 | 2024-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-07 | 2024-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-07 | 2024-05-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-07 | 2024-05-28 | 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 | 2024-05-07 | 2024-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-07 | 2024-05-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-14 | 2023-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-04-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-14 | 2023-04-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-14 | 2023-04-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-14 | 2023-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-04-07 | N |
| Post nurse staffing information every day. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-14 | 2023-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-14 | 2023-04-07 | 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 | 2023-02-14 | 2023-04-07 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-02-14 | 2023-04-07 | N |
| Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | Health | 2023-02-14 | 2023-04-07 | N |
| Provide or obtain dental services for each resident. | Health | 2023-02-14 | 2023-04-07 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-02-14 | 2023-04-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-14 | 2023-04-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-14 | 2023-04-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-14 | 2023-04-07 | 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 | 2023-02-14 | 2023-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-14 | 2023-04-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-14 | 2023-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-04-07 | Y |
| Meet other general requirements. | Fire Safety | 2023-02-06 | 2023-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-06 | 2023-03-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-06 | 2023-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-06 | 2023-03-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-06 | 2023-03-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-06 | 2023-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-06 | 2023-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-06 | 2023-02-13 | 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 | 2023-02-06 | 2023-02-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-06 | 2023-02-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-15 | 2021-09-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-15 | 2021-09-03 | 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 | 2021-07-15 | 2021-09-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-15 | 2021-09-03 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-15 | 2021-09-03 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-15 | 2021-09-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-15 | 2021-09-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-15 | 2021-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-15 | 2021-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-15 | 2021-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-09-03 | N |
| 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 | 2021-07-15 | 2021-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-15 | 2021-09-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-15 | 2021-09-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-15 | 2021-09-03 | 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 | 2021-07-15 | 2021-09-03 | 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 | 2021-07-15 | 2021-09-03 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2021-07-15 | 2021-09-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-15 | 2021-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-09-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-15 | 2021-09-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-15 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-09-03 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-07-15 | 2021-09-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-14 | 2021-08-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-14 | 2021-08-31 | 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 | 2021-07-14 | 2021-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-14 | 2021-08-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-14 | 2021-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-14 | 2021-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-14 | 2021-08-31 | N |
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