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Deficiency Records for Odd Fellow Home
View the most recent health deficiencies and inspection results for Odd Fellow Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Odd Fellow Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-02 | 2026-03-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-08 | 2025-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-18 | 2025-12-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-11-18 | 2025-12-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-18 | 2025-12-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-07 | 2025-07-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-05-07 | 2025-07-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-07 | 2025-06-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-05-07 | 2025-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-07 | 2025-06-07 | 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 | 2025-05-07 | 2025-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-07 | 2025-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-07 | 2025-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-07 | 2025-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-07 | 2025-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-07 | 2025-06-07 | 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 | 2025-05-07 | 2025-06-07 | N |
| 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 | 2025-05-07 | 2025-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-09 | 2025-02-09 | 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 | 2025-01-09 | 2025-02-09 | 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 | 2025-01-09 | 2025-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-09 | 2025-02-09 | 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 | 2025-01-09 | 2025-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-10-07 | 2024-11-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-12 | 2024-04-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-12 | 2024-04-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-12 | 2024-04-12 | 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 | 2024-03-12 | 2024-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-12 | 2024-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-12 | 2024-04-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-12 | 2024-04-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-12 | 2024-04-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-12 | 2024-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-12 | 2024-04-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-12 | 2024-04-12 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-03-12 | 2024-04-12 | Y |
| Post nurse staffing information every day. | Health | 2024-03-12 | 2024-04-12 | 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 | 2024-03-12 | 2024-04-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-12 | 2024-04-12 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-12 | 2024-04-12 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-12 | 2024-04-12 | 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 | 2024-03-12 | 2024-04-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-12 | 2024-04-12 | N |
| 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 | 2024-03-12 | 2024-04-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-11 | 2023-10-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-11 | 2023-10-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-28 | 2023-07-24 | 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 | 2023-06-28 | 2023-07-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-04-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-04-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-08 | 2023-04-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-08 | 2023-04-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-08 | 2023-04-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-08 | 2023-04-03 | N |