Deficiency Records for Lady of The Oaks Retirement Manor
Updated as of October 01, 2017
This is not the most recent data for Lady of The Oaks Retirement Manor. For the most recent information, click here.
A list of the most recent deficiencies for Lady of The Oaks Retirement Manor. 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? |
|---|---|---|---|---|
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-03-10 | 2017-04-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-10 | 2017-04-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-03-10 | 2017-04-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-10 | 2017-04-10 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-10 | 2017-04-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-10 | 2017-04-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-10 | 2017-04-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-02 | 2017-01-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-02 | 2017-01-16 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-12-02 | 2017-01-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-20 | 2016-10-25 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-22 | 2016-05-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-22 | 2016-05-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-22 | 2016-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-22 | 2016-05-25 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-04-22 | 2016-05-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-22 | 2016-05-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-22 | 2016-05-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-22 | 2016-05-25 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-02-23 | 2016-03-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-17 | 2016-03-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-17 | 2016-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-25 | 2015-09-07 | N |
| Provide housekeeping and maintenance services. | Health | 2015-06-25 | 2015-07-31 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-06-25 | 2015-07-31 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-25 | 2015-07-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-25 | 2015-07-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-06-25 | 2015-07-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-06-25 | 2015-07-31 | N |
| Keep all essential equipment working safely. | Health | 2015-06-25 | 2015-07-31 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-06-25 | 2015-07-31 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-06-25 | 2015-07-31 | N |
