Deficiency Records for Oak Ridge Healthcare Center

(Home page)

Updated as of March 01, 2024

A list of the most recent deficiencies for Oak Ridge 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 residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-11-23 2023-11-30 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-30 2023-02-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-23 2022-03-27 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-05-13 2021-06-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-05-13 2021-06-14 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 2021-05-13 2021-06-14 N
Ensure medication error rates are not 5 percent or greater. Health 2021-05-13 2021-06-14 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 2021-05-13 2021-06-14 N
Keep all essential equipment working safely. Health 2021-05-13 2021-06-14 N
Provide primary/alternate means for communication. Fire Safety 2021-05-20 2021-06-03 N
Use approved construction type or materials. Fire Safety 2021-05-20 2021-06-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-05-20 2021-06-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-20 2021-06-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-05-20 2021-06-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-20 2021-06-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-20 2021-06-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-04-06 2021-05-05 Y
Establish policies and procedures for medical documentation. Fire Safety 2019-06-10 2019-07-01 N
Establish roles under a Waiver declared by secretary. Fire Safety 2019-06-10 2019-07-01 N
Provide emergency officials' contact information. Fire Safety 2019-06-10 2019-07-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-06-10 2019-07-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-10 2019-07-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-10 2019-07-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-06-10 2019-07-01 N
Have proper medical gas storage and administration areas. Fire Safety 2019-06-10 2019-07-01 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2019-04-25 2019-06-25 N
Provide enough food/fluids to maintain a resident's health. Health 2019-04-25 2019-06-25 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 2019-04-25 2019-06-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-25 2019-06-25 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 2018-07-26 2018-08-13 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2018-07-26 2018-08-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-07-26 2018-08-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-07-26 2018-08-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-07-26 2018-08-13 N
Meet requirements for the use of electrical equipment. Fire Safety 2018-07-26 2018-08-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-07-26 2018-08-13 N
Provide enough food/fluids to maintain a resident's health. Health 2018-06-29 2018-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-06-29 2018-08-01 N