A list of the most recent deficiencies for Oak Trace. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-03-22 | 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 | 2024-02-16 | 2024-03-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-02-16 | 2024-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-16 | 2024-03-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-16 | 2024-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-16 | 2024-03-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-02-22 | 2024-03-07 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-22 | 2024-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-22 | 2024-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-22 | 2024-03-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-02-22 | 2024-03-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-22 | 2024-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-28 | 2023-07-10 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-16 | 2023-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-16 | 2023-04-03 | 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 | 2023-03-16 | 2023-03-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-16 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-04-14 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-12-13 | 2021-12-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-10 | 2021-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2021-12-22 | N |
