A list of the most recent deficiencies for Focused Care at Odessa. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-29 | 2023-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-29 | 2023-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-10-13 | 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 | 2023-08-29 | 2023-10-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-11 | 2023-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-01-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-06-22 | 2022-07-08 | N |
| 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 | 2022-06-22 | 2022-07-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-22 | 2022-07-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-22 | 2021-10-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-04 | 2021-04-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-03-04 | 2021-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-04 | 2021-04-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-03-04 | 2021-04-01 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2021-03-04 | 2021-04-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-04 | 2021-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-05 | Not Fixed | N |
