Deficiency Records for Mid-Town Oaks Post-Acute
Updated as of May 01, 2024
CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mid-Town Oaks Post-Acute
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.
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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-12 | 2024-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-08 | 2024-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2023-12-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-14 | 2023-10-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-14 | 2023-10-12 | N |
| 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 | 2023-09-14 | 2023-10-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-14 | 2023-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-14 | 2023-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-09-14 | 2023-10-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-14 | 2023-10-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-14 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-09-14 | 2023-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-08-16 | 2023-09-27 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-19 | 2023-09-20 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-17 | 2023-09-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-29 | 2023-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-29 | 2023-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-07-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-19 | 2023-07-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-06-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-15 | 2023-06-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-21 | 2023-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-26 | 2022-11-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-11 | 2022-10-28 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-10-11 | 2022-10-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-20 | 2022-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-07 | 2022-09-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-18 | 2022-07-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-31 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-31 | 2022-06-10 | Y |
| 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 | 2021-08-24 | 2021-09-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-10 | 2021-07-09 | N |
| 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-10 | 2021-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-10 | 2021-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-06-10 | 2021-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-23 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-23 | 2021-07-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-06-04 | 2021-06-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-04 | 2021-06-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-04 | 2021-06-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-08 | 2019-10-15 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-08-08 | 2019-10-15 | N |
| 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 | 2019-08-08 | 2019-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-08 | 2019-10-15 | 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 | 2019-08-08 | 2019-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-08 | 2019-10-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-08 | 2019-10-15 | 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 | 2019-08-08 | 2019-10-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-08 | 2019-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-08 | 2019-10-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-08 | 2019-10-15 | 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 | 2019-08-08 | 2019-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-10-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-03 | 2019-09-16 | N |
Healthcare Search Options
Make informed decisions about your healthcare optionsOur site is designed to help you find the information you need quickly and easily, no matter what type of healthcare provider you're looking for. We provide a wealth of statistics and data that can help you make informed decisions about your healthcare options.
Request a Report
Custom Database Reports
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
