Deficiency Records for Christian Community Home of Osceola, Inc
Updated as of March 01, 2024
A list of the most recent deficiencies for Christian Community Home of Osceola, Inc. 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 that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-01 | 2023-04-13 | 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 | 2023-03-01 | 2023-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-01 | 2023-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-01 | 2023-04-13 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-02 | 2023-04-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-02 | 2023-04-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-01-04 | 2022-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-04 | 2022-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-05 | 2022-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-05 | 2022-02-03 | 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 | 2022-01-05 | 2022-02-03 | 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 | 2022-01-05 | 2022-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-02-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-05 | 2022-02-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-04 | 2022-02-03 | 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 | 2022-01-04 | 2022-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-04 | 2022-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-27 | 2020-04-30 | 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 | 2020-01-29 | 2020-02-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-29 | 2020-02-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-02-29 | 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 | 2020-01-29 | 2020-02-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-29 | 2020-02-29 | 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 | 2020-01-29 | 2020-02-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-29 | 2020-02-29 | 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 | 2020-01-29 | 2020-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-29 | 2020-02-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-02-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-27 | 2020-02-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-27 | 2020-02-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-27 | 2020-02-29 | N |
