Deficiency Records for Oak Ridge Healthcare Center
Updated as of June 01, 2021
This is not the most recent data for Oak Ridge Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-18 | 2020-12-01 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-23 | 2020-02-18 | Y |
| 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 | 2020-01-23 | 2020-02-18 | 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 doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-01-25 | 2019-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-14 | 2019-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-16 | 2018-12-19 | Y |
| 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 other general requirements that are deficient. | 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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-07-25 | 2018-08-09 | Y |
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-29 | 2017-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-29 | 2017-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-29 | 2017-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-29 | 2017-07-12 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-06-08 | 2017-07-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-08 | 2017-07-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-08 | 2017-07-11 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-06-08 | 2017-07-11 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-08 | 2017-07-11 | N |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | Health | 2017-06-08 | 2017-07-11 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-06-08 | 2017-07-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-07-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-08 | 2017-07-11 | N |
