A list of the most recent deficiencies for Oakpark Healthcare 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-05 | 2024-02-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-11 | 2023-07-21 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-10 | 2023-03-10 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-03-10 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-12 | 2022-12-19 | Y |
| 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 | 2022-12-12 | 2022-12-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-12 | 2022-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2021-12-22 | 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 | 2021-12-09 | 2021-12-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-09 | 2021-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2021-12-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-15 | 2021-12-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-15 | 2021-12-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-15 | 2021-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-15 | 2021-12-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-09 | 2021-09-17 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Establish methods for sharing information. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-23 | 2019-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-17 | 2019-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-17 | 2019-06-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-17 | 2019-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-17 | 2019-06-12 | 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 | 2018-05-06 | 2018-05-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-06 | 2018-05-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-06 | 2018-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-06 | 2018-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-06 | 2018-05-25 | 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 | 2018-05-06 | 2018-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-06 | 2018-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-06 | 2018-05-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-06 | 2018-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-06 | 2018-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-05 | 2018-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-05 | 2018-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-05 | 2018-05-25 | N |
