A list of the most recent deficiencies for Oak Grove Center. 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? |
---|---|---|---|---|
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-01 | 2024-03-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-03-13 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-06 | 2023-07-05 | Y |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-06-06 | 2023-07-05 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-06-06 | 2023-07-05 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-11 | 2023-05-16 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-18 | 2022-11-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-11-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-18 | 2022-11-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-11 | 2022-11-22 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-05-23 | 2022-06-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-23 | 2022-06-23 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-17 | 2022-04-25 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-17 | 2022-04-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-25 | 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 | 2022-03-17 | 2022-04-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-25 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-03-17 | 2022-04-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-25 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-25 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-04-25 | Y |
Establish staff and initial training requirements. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-03-14 | 2022-04-19 | 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 | 2022-03-14 | 2022-04-19 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-03-14 | 2022-04-19 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-14 | 2022-04-19 | 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 | 2022-02-01 | 2022-03-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-03-01 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-15 | 2021-07-20 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-15 | 2021-07-20 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-11 | 2020-11-30 | N |
Post nurse staffing information every day. | Health | 2020-03-11 | 2020-11-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-11 | 2020-11-30 | N |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-02-14 | 2019-03-28 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-14 | 2019-03-28 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-02-14 | 2019-03-28 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-14 | 2019-03-28 | N |
Dispose of garbage and refuse properly. | Health | 2019-02-14 | 2019-03-28 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-02-12 | 2019-03-05 | 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 | 2019-02-12 | 2019-03-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-02-12 | 2019-03-05 | N |