Deficiency Records for College Oak Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for College Oak Nursing and Rehabilitation 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-20 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-22 | 2022-09-15 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-21 | 2022-06-28 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-13 | 2021-06-10 | 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 | 2021-06-10 | 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 | 2021-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-13 | 2021-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-18 | 2021-06-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-18 | 2021-06-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-18 | 2021-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-18 | 2021-06-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-18 | 2021-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-18 | 2021-06-02 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-13 | 2019-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-13 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-13 | 2019-08-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-06-20 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-02 | 2018-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-02 | 2018-09-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-16 | 2018-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-16 | 2018-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-16 | 2018-09-04 | N |
