A list of the most recent deficiencies for Anew Healthcare Oxford. 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Establish methods for sharing information. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-06 | 2023-11-21 | 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 | 2023-11-06 | 2023-11-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-06 | 2023-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-11 | 2023-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-11 | 2023-11-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-11 | 2023-11-15 | 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 | 2023-10-11 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-11 | 2023-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-11 | 2023-11-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-11 | 2023-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-25 | 2023-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-10 | 2023-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-10 | 2023-05-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-10 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-10 | 2023-05-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-02-27 | 2023-03-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-05 | 2023-01-30 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-26 | 2022-06-22 | 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 | 2022-05-26 | 2022-06-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-26 | 2022-06-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-07 | 2022-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-07 | 2022-05-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-17 | 2020-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-17 | 2020-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-17 | 2020-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-17 | 2020-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-17 | 2020-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-17 | 2020-04-14 | N |
