Deficiency Records for O'connor Hospital D/p Snf

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Updated as of May 01, 2024

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Deficiency Records for O'connor Hospital D/p Snf

A list of the most recent deficiencies for O'connor Hospital D/p Snf. 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 O'connor Hospital D/p Snf. 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?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-04-04 2023-05-01 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-04-04 2023-05-01 N
Meet other general requirements that are deficient. Fire Safety 2023-04-04 2023-05-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-04 2023-05-01 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 2023-03-23 2023-04-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-23 2023-04-24 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-03-23 2023-04-24 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 2023-03-23 2023-04-24 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-03-23 2023-04-24 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-03-23 2023-04-24 N
Provide and implement an infection prevention and control program. Health 2023-03-23 2023-04-24 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-23 2023-04-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-03-23 2023-04-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-23 2023-04-21 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 2023-03-23 2023-04-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-10-24 2019-11-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-24 2019-11-12 N

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