Deficiency Records for Country Oaks Care Center
Updated as of February 01, 2021
This is not the most recent data for Country Oaks Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Country Oaks Care 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-09-28 | 2020-10-08 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2020-04-14 | 2020-09-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-04-14 | 2020-09-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-13 | 2020-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-13 | 2020-03-23 | Y |
| Post nurse staffing information every day. | Health | 2020-01-24 | 2020-02-06 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-11-02 | 2019-11-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-01 | 2019-11-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-09-16 | 2019-11-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-16 | 2019-11-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-16 | 2019-11-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-16 | 2019-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-16 | 2019-11-12 | 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 | 2019-09-16 | 2019-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-16 | 2019-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-11-12 | N |
| Keep all essential equipment working safely. | Health | 2019-09-16 | 2019-11-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-16 | 2019-11-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-22 | 2019-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-22 | 2019-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-22 | 2019-10-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-22 | 2019-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-22 | 2019-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-27 | 2019-07-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-15 | 2019-05-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-15 | 2019-05-28 | 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 | 2019-01-15 | 2019-05-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-12 | 2019-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-26 | 2019-01-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-20 | 2018-11-06 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-09-20 | 2018-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-20 | 2018-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-11-06 | 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 | 2018-09-20 | 2018-11-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-20 | 2018-11-06 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-20 | 2018-11-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-20 | 2018-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-20 | 2018-11-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-09-20 | 2018-11-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-20 | 2018-11-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Meet other general requirements. | Fire Safety | 2018-09-27 | 2018-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-18 | 2018-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-07 | 2018-09-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2018-03-29 | 2018-04-30 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-14 | 2017-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-14 | 2017-10-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-09-14 | 2017-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-14 | 2017-10-11 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-09-15 | 2017-10-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-15 | 2017-10-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-15 | 2017-10-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-15 | 2017-10-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-15 | 2017-10-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-15 | 2017-10-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-15 | 2017-10-03 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-15 | 2017-10-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-15 | 2017-10-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-15 | 2017-10-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-09-15 | 2017-10-03 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-09-15 | 2017-10-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-15 | 2017-10-03 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-09-15 | 2017-10-03 | N |
