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Deficiency Records for Our Lady of Hope Health Center
View the most recent health deficiencies and inspection results for Our Lady of Hope Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Our Lady of Hope Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-17 | 2026-05-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-17 | 2026-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-06 | 2025-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-06 | 2025-01-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-06 | 2025-01-07 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-09-27 | 2023-10-17 | 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 | 2023-09-27 | 2023-10-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-27 | 2023-10-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-27 | 2023-10-17 | 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 | 2023-05-03 | 2023-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-03 | 2023-05-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-03 | 2023-05-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-03 | 2023-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-09 | 2022-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-09 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2021-12-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-12-09 | 2021-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-09 | 2021-12-29 | 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 | 2021-12-09 | 2021-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-27 | 2021-01-20 | 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 | 2020-02-27 | 2021-01-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-27 | 2021-01-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-02-27 | 2020-04-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2020-02-27 | 2020-04-03 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-27 | 2020-04-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-27 | 2020-04-03 | 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 | 2020-02-27 | 2020-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-04-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-04-03 | 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 | 2020-02-27 | 2020-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-27 | 2020-04-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-27 | 2020-04-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-27 | 2020-04-03 | 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 | 2020-02-27 | 2020-04-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-27 | 2020-04-03 | 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 | 2020-02-27 | 2020-04-03 | N |