Deficiency Records for Mid-Town Oaks Post-Acute
Updated as of October 01, 2019
This is not the most recent data for Mid-Town Oaks Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Mid-Town Oaks Post-Acute. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-23 | 2018-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 2018-10-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-23 | 2018-10-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-23 | 2018-10-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-23 | 2018-10-08 | 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 | 2018-08-23 | 2018-10-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-23 | 2018-10-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-09-06 | 2018-09-24 | N |
| Develop a communication plan. | Fire Safety | 2018-09-06 | 2018-09-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-06 | 2018-09-24 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-07-03 | 2018-07-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-03 | 2018-07-23 | Y |
| 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 | 2017-09-19 | 2017-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-19 | 2017-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-19 | 2017-10-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-09-19 | 2017-10-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-09-19 | 2017-10-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-15 | 2017-10-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-15 | 2017-10-13 | N |
| Keep all essential equipment working safely. | Health | 2017-09-15 | 2017-10-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-28 | 2017-04-27 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2017-03-24 | 2017-04-26 | Y |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2016-09-09 | 2016-10-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-09 | 2016-10-18 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-09 | 2016-10-18 | N |
| Approved construction type or materials. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-14 | 2016-10-17 | N |
