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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-08 | 2024-03-04 | 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 | 2024-02-08 | 2024-03-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-08 | 2024-03-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-31 | 2024-02-15 | 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 | 2024-01-31 | 2024-02-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-31 | 2024-02-15 | N |
| 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 |
