Deficiency Records for Oak Grove Christian Retirement Village
Updated as of March 01, 2024
A list of the most recent deficiencies for Oak Grove Christian Retirement Village. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-20 | 2024-01-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-20 | 2024-01-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-20 | 2024-01-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-20 | 2024-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-20 | 2024-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-20 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-20 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-20 | 2024-01-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-20 | 2024-01-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-20 | 2024-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2024-01-12 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-11-20 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2024-01-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-26 | 2023-10-31 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-26 | 2023-10-31 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-26 | 2023-10-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-11 | 2023-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-11 | 2023-08-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-11 | 2023-08-31 | Y |
| 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 | 2023-07-11 | 2023-08-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-11 | 2023-08-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-11 | 2023-08-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-11 | 2023-08-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-11 | 2023-08-31 | Y |
| Have a Compliance and Ethics Program. | Health | 2023-07-11 | 2023-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-14 | 2022-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-14 | 2022-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-10-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-14 | 2019-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2019-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-14 | 2019-12-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-14 | 2019-12-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-14 | 2019-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-12-14 | N |
