A list of the most recent deficiencies for Oakwood Snf LLC. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-08 | 2022-05-10 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-08 | 2022-05-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-08 | 2022-05-10 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-04-08 | 2022-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-08 | 2022-05-10 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-08 | 2022-05-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-10 | 2021-03-23 | 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 | 2019-10-28 | 2020-01-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-28 | 2020-01-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-28 | 2020-01-22 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-28 | 2020-01-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-28 | 2020-01-22 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-10-28 | 2020-01-22 | N |
| 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 | 2019-10-28 | 2020-01-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-28 | 2020-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-28 | 2020-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-28 | 2020-01-22 | 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 | 2019-10-28 | 2020-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-28 | 2020-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-28 | 2020-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-28 | 2020-01-22 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-10-28 | 2020-01-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-10-28 | 2020-01-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-28 | 2020-01-22 | N |
| Post nurse staffing information every day. | Health | 2019-10-28 | 2020-01-22 | 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 | 2019-10-28 | 2020-01-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-28 | 2020-01-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-28 | 2020-01-22 | 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 | 2019-10-28 | 2020-01-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-28 | 2020-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-28 | 2020-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-28 | 2020-01-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-07 | 2019-12-03 | 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 | 2019-11-07 | 2019-12-03 | 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 | 2018-08-03 | 2018-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-03 | 2018-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-03 | 2018-08-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-08-03 | 2018-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-03 | 2018-08-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-06-26 | 2018-07-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-26 | 2018-07-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-26 | 2018-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-26 | 2018-07-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-26 | 2018-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-26 | 2018-07-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-26 | 2018-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-26 | 2018-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-26 | 2018-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-26 | 2018-07-31 | 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 | 2018-06-26 | 2018-07-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-26 | 2018-07-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-26 | 2018-07-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-26 | 2018-07-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-26 | 2018-07-31 | 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 | 2018-06-26 | 2018-07-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-06-26 | 2018-07-31 | 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 | 2018-06-26 | 2018-07-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-26 | 2018-07-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-26 | 2018-07-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-26 | 2018-07-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-26 | 2018-02-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-22 | 2017-08-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-06 | 2017-05-31 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-06 | 2017-05-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-06 | 2017-05-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-06 | 2017-05-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-06 | 2017-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-06 | 2017-05-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-06 | 2017-05-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-06 | 2017-05-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-31 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-04-06 | 2017-05-31 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-06 | 2017-05-31 | N |
