A list of the most recent deficiencies for Oak Ridge Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-03 | 2023-11-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-03 | 2023-11-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-03 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-03 | 2023-11-30 | 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 | 2023-11-03 | 2023-11-30 | 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 | 2023-11-03 | 2023-11-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-03 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-03 | 2023-11-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-01 | 2023-11-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-13 | 2023-09-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-09-07 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-08-19 | 2022-09-16 | 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 | 2022-08-19 | 2022-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-19 | 2022-09-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-19 | 2022-09-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-19 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-19 | 2022-09-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-16 | 2022-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-07-24 | Y |
| 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 | 2022-03-02 | 2022-03-18 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-12-03 | 2021-12-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-25 | 2021-07-20 | 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 | 2021-06-25 | 2021-07-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-06-22 | 2021-07-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-22 | 2021-07-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-06-22 | 2021-07-20 | N |
