Deficiency Records for Oak Creek Rehabilitation Center of Kimberly
Updated as of March 01, 2024
A list of the most recent deficiencies for Oak Creek Rehabilitation Center of Kimberly. 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 | 2018-08-28 | 2018-10-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-28 | 2018-10-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-08-28 | 2018-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-01-12 | 2018-02-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-01-12 | 2018-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-12 | 2018-02-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-01-12 | 2018-02-16 | 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 | 2018-01-12 | 2018-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-12 | 2018-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-12 | 2018-02-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-01-12 | 2018-02-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-06-06 | 2017-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-06 | 2017-06-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-06 | 2017-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-06 | 2017-06-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-09-23 | 2016-11-01 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-23 | 2016-11-01 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-23 | 2016-11-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-23 | 2016-11-01 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-09-23 | 2016-11-01 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-09-23 | 2016-11-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-09-23 | 2016-11-01 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-23 | 2016-11-01 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-23 | 2016-11-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-23 | 2016-11-01 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-23 | 2016-11-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-09-23 | 2016-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-23 | 2016-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-23 | 2016-11-01 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-07-18 | 2016-08-10 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-18 | 2016-08-10 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-07-18 | 2016-08-10 | N |
