Deficiency Records for Oasis Pavilion Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Oasis Pavilion Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-02 | 2023-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-02 | 2023-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-05-30 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-17 | 2023-01-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-17 | 2023-01-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2023-01-23 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2023-01-23 | 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 | 2022-11-17 | 2023-01-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-17 | 2023-01-23 | 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 | 2022-11-17 | 2023-01-23 | N |
| Post nurse staffing information every day. | Health | 2022-11-17 | 2023-01-23 | 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 | 2022-11-17 | 2023-01-23 | 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 | 2022-11-17 | 2023-01-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-17 | 2023-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2023-01-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-17 | 2023-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2023-01-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2023-01-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-17 | 2023-01-23 | 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 | 2022-11-17 | 2023-01-23 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-17 | 2023-01-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-27 | 2021-08-01 | 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 | 2021-05-27 | 2021-08-01 | 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 | 2021-05-27 | 2021-08-01 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-27 | 2021-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-08-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-27 | 2021-08-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-05-27 | 2021-08-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-27 | 2021-08-01 | 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 | 2019-02-12 | 2019-03-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-12 | 2019-03-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-12 | 2019-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-12 | 2019-03-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-12 | 2019-03-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-12 | 2019-03-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-02-12 | 2019-03-29 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-12 | 2019-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-12 | 2019-03-29 | N |
