A list of the most recent deficiencies for Glen Oaks Health Campus. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Meet other general requirements. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-07-05 | 2023-08-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-16 | 2023-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-16 | 2023-07-05 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-16 | 2023-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-16 | 2023-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-16 | 2023-07-05 | 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 | 2023-06-16 | 2023-07-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-16 | 2023-07-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-04 | 2022-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-04 | 2022-04-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-04 | 2022-04-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-04 | 2022-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-04 | 2022-04-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-04 | 2022-04-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-23 | 2022-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-23 | 2022-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-18 | 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 | 2022-03-23 | 2022-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-04-18 | 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 | 2022-03-23 | 2022-04-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-23 | 2022-04-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-23 | 2022-04-18 | 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 | 2022-03-23 | 2022-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-23 | 2022-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-23 | 2022-04-18 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-23 | 2022-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-14 | 2020-02-06 | N |
| Have an externally vented heating system. | Fire Safety | 2020-01-14 | 2020-02-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-23 | 2019-11-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-23 | 2019-11-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-23 | 2019-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-23 | 2019-11-22 | 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 | 2019-10-23 | 2019-11-22 | N |
