Deficiency Records for Grand Oaks Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Grand Oaks Health 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-06 | 2022-08-04 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-06 | 2022-08-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-03 | 2022-04-12 | 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 | 2022-03-03 | 2022-04-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-03-03 | 2022-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-03 | 2022-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-04-12 | 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 | 2022-03-03 | 2022-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-03 | 2022-04-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-03 | 2022-04-12 | 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 | 2022-03-03 | 2022-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-04-12 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-03 | 2022-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-23 | 2021-05-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-27 | 2020-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-27 | 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 | 2020-02-27 | 2020-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-04-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-27 | 2020-04-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-04-27 | N |
| 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 | 2020-02-27 | 2020-04-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-27 | 2020-04-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-27 | 2020-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-27 | 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 | 2018-10-25 | 2018-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-25 | 2018-11-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-25 | 2018-11-25 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-10-25 | 2018-11-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-25 | 2018-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-25 | 2018-11-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-25 | 2018-11-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-25 | 2018-11-25 | 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 | 2018-10-25 | 2018-11-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-25 | 2018-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-11-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-23 | 2018-11-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-23 | 2018-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-23 | 2018-11-25 | N |
