A list of the most recent deficiencies for Oak Crest. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-22 | 2023-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-22 | 2023-10-01 | 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 | 2023-08-15 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-15 | 2023-09-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-22 | 2023-09-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-22 | 2023-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-08-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-30 | 2022-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-30 | 2022-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-30 | 2022-10-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-30 | 2022-10-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-14 | 2022-09-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-17 | 2022-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-17 | 2022-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-17 | 2022-01-05 | 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 | 2021-12-17 | 2022-01-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-12-17 | 2022-01-05 | N |
| 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 | 2021-12-10 | 2021-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2021-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2021-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-17 | 2021-12-31 | N |
